T5A-1
Trade Mark Form T5A
For official use
Request to amend application
Trade Marks Ordinance (Cap. 559)
Trade Marks Rules (Cap. 559A)
Important notes
1. General notes:
a. Please complete this form in English unless otherwise stated.
b. This form must be signed and dated.
c. If there is not enough space for any part on this form, please continue on an additional sheet. Number each
additional sheet and state the number of additional sheet(s).
d. Please enquire through the following means:
E-mail: enquiry@ipd.gov.hk
Internet homepage address: www.ipd.gov.hk
2. Use of personal data:
Personal data collected by the Registrar of Trade Marks ("the Registrar") in the forms filed with the Registrar
will be used for the purposes set out in the Personal Information Collection Statement at
https://www.ipd.gov.hk/eng/personal_information.htm.
3. Use of other information:
a. The Trade Marks Registry will use any information relating to any commercial enterprise or entity provided
in this form and any document(s) filed in relation to it for processing your application, request or notice, and
for the purposes of collection set out in the Personal Information Collection Statement at
https://www.ipd.gov.hk/eng/personal_information.htm. They may be made available for public
inspection, in full or in part, pursuant to Rules 68 and 69 of the Trade Marks Rules, Cap. 559A. Such
information may be accessed through the Internet.
b. DO NOT include any business information of your own or that of third parties which you consider to
be confidential or commercially sensitive. Where such information is included in this form or any
document(s) filed in relation to it, the Registrar will treat it an express and voluntary consent given by you
and any such third party to disclosure of all such information for the purpose of public inspection.
4. Submission of application/request/notice:
a. In person or by mail with the appropriate fee to the Registrar of Trade Marks, 24/F, Wu Chung House, No.
213 Queen’s Road East, Wanchai, Hong Kong. The fee schedule can be viewed at
www.ipd.gov.hk/eng/forms_fees.htm. Payment can be made in person by cash, or by sending a
cheque/bank draft (in Hong Kong dollars which can be cleared in Hong Kong) made payable to THE
GOVERNMENT OF THE HONG KONG SPECIAL ADMINISTRATIVE REGION.
b. This form can also be submitted electronically. For details, please visit IPD’s e-Filing System.
T5A-2
* Denotes mandatory fields
01. *Trade Mark No. to which this request relates
02. *Name of applicant for registration
03. *Details to be amended
A single form can be filed for multiple requests in respect of the same application.
Example: Requests for amendment of specification and withdrawal of a claim to right of priority.
(a) Class number(s) and specification of goods and/or services
Please list the affected class number(s) and provide the corresponding specification of goods or services after amendment. If
the space provided is not enough, please use additional sheet(s).
Class no.
Specification of goods or services
Class no.
Specification of goods or services
T5A-3
Class no.
Specification of goods or services
Class no.
Specification of goods or services
If the affected class number(s) is/ are not covered by the original application, please fill in the following boxes.
Total number of
class(es) added
T5A-4
(b) Addition of disclaimer, limitation or condition
Please mark the appropriate box(es)
(i) Disclaimer
(ii) Limitation
(iii) Condition
Please specify
(c) Withdrawal of a claim to
a right to priority
(i) Priority
date
claimed
DD-MM-YYYY
(ii) Country/
Territory/
Area
(iii) Application
no.
If applicable
(d) Amendment for the
purpose of correcting
errors of wording or of
copying or obvious
mistakes
04. *Address for service
The address for service provided in this part shall be treated as being in substitution for any address for
service previously filed.
All correspondence and/or document(s) will be sent to the address below.
*(a) Name
*(b) Address
You must provide details of an
address for service in Hong Kong.
Please note that a P.O. Box or
“care of address is not
acceptable.
Flat/Floor/Building
Street/District
HONG KONG
(c) Telephone no.
In Hong Kong
(d) Fax no.
In Hong Kong
(e) Reference no.
T5A-5
05. Agent’s details
Go to Part 06 if you are not an agent.
If you have been duly authorized to act as an agent, please complete this part. The details provided in
this part shall be treated as being in substitution for any agent’s details previously filed.
(a) Name
(b) Address
You must provide details of an
address in Hong Kong, where
you reside or carry on your
business activities. Please note
that a P.O. Box or “care of
address is not acceptable.
Flat/Floor/Building
Street/District
HONG KONG
(c) Telephone no.
In Hong Kong
(d) Fax no.
In Hong Kong
(e) Reference no.
06. *Signature
I/We confirm that I/we have read and understood the “Important notesof this form.
*(a) Authorized signature
*(b) Name of signatory
*(c) Official capacity of
signatory
Examples: Authorized person,
Director, Partner or Principal
Officer of Applicant(s)/ Agent.
*(d) Date
DD-MM-YYYY
07. Attachment(s)
Total number of attachment(s)
click to sign
signature
click to edit
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