E-Renewal RENEWAL OF THE INTERNATIONAL REGISTRATION MM11(E) For use by the holder For use by the Office This renewal contains the following number of continuation sheets: 0 Holder s reference: MP00021 Office s reference: INTERNATIONAL REGISTRATION NUMBER 1234567 NAME OF THE HOLDER (as recorded in the International Register) HATUMEI Corporation SIGNATURE CONTINUATION SHEET MM11(E) January 2017 137
MM11(E) : 0 : MP00021 : 1234567 () HATUMEI Corporation MM11(E) January 2017 137
CONTRACTING PARTIES FOR WHICH RENEWAL IS REQUESTED You must indicate below ALL the designated Contracting Parties for which you want to renew this international registration. You may renew the international registration in respect of a Contracting Party that has refused protection for all goods and services, following the recording of a statement sent under Rule 18ter of the Common Regulations. The registration will be renewed in respect of that Contracting Party for all the goods and services, by filling in this item solely. This may be useful, pending the outcome of further proceedings in the Contracting Party concerned. You may also renew the international registration in respect of a Contracting Party that has refused protection for some of the goods and services, following the recording of a statement sent under the aforementioned Rule, by filling in this item solely. The registration will be renewed in respect of that Contracting Party for only the goods and services protected. However, if you want to renew the international registration in respect of this Contracting Party for all goods and services, you must, in addition to this indication, provide the indication required in item 4 of this form. AG Antigua and Barbuda AL Albania AM Armenia AT Austria AU Australia AZ Azerbaijan BA Bosnia and Herzegovina BG Bulgaria BH Bahrain BN Brunei Durassalam BQ Bonaire, Saint Eustatius and Saba 1 BT Bhutan BW Botswana BX Benelux BY Belarus CH Switzerland CN China CO Colombia CU Cuba CW Curaçao 1 CY Cyprus CZ Czechia DE Germany DK Denmark DZ Algeria Others: EE Estonia EG Egypt LA Lao People s Democratic Republic EM European Union 2 LI Liechtenstein ES Spain LR Liberia FI Finland LS Lesotho FR France LT Lithuania GB United Kingdom LV Latvia GE Georgia MA Morocco GH Ghana GM Gambia MC Monaco MD Republic of Moldova GR Greece ME Montenegro HR Croatia MG Madagascar HU Hungary MK The former Yugoslav Rep. of Macedonia IE Ireland MN Mongolia IL Israel MX Mexico IN India IR Iran (Islamic MZ Mozambique Republic of) IS Iceland NA Namibia NO Norway IT Italy NZ New Zealand JP Japan OA African Intellectual KE Kenya Property KG Kyrgyzstan Organization (OAPI) 3 KH Cambodia KP Democratic People s OM Oman PH Philippines Republic of Korea PL Poland KR Republic of Korea PT Portugal KZ Kazakhstan RO Romania RS Serbia RU Russian Federation RW Rwanda SD Sudan SE Sweden SG Singapore SI Slovenia SK Slovakia SL Sierra Leone SM San Marino ST Sao Tome and Principe SX Sint Maarten (Dutch part) 1 SY Syrian Arab Republic SZ Swaziland TJ Tajikistan TM Turkmenistan TN Tunisia TR Turkey UA Ukraine US United States of America UZ Uzbekistan VN Viet Nam ZM Zambia ZW Zimbabwe 1 Territorial entity previously part of the Netherlands Antilles. 2 The designation of the European Union covers the following Member States: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom. 3 The designation of the African Intellectual Property Organization covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. MM11(E) January 2017 138
18 3 18 3 AG EE LA RS AL EG LI RU AM EM 2 LR RW AT ES LS SD AU FI LT SE AZ FR LV SG BA GB MA SI BG GE MC SK BH GH MD SL BN GM ME SM BQ,, 1 BT BW BX BY CH CN CO CU CW 1 CY CZ DE DK DZ GR HR HU IE IL IN IR IS IT JP KE KG KH KP KR KZ MG MK MN MX MZ NA NO NZ OA (OAPI) 3 OM PH PL PT RO ST SX () 1 SY SZ TJ TM TN TR UA US UZ VN ZM ZW : 1 2 3 (OAPI) MM11(E) January 2017 138
国際登録更新の申請書記載見本 (MM11) 4 RENEWAL FOR ALL GOODS AND SERVICES IN RESPECT OF CONTRACTING PARTIES WHERE PROTECTION HAS BEEN PARTIALLY REFUSED, FOLLOWING THE RECORDING OF A STATEMENT SENT UNDER RULE 18TER OF THE COMMON REGULATIONS You may still renew the international registration for all goods and services in respect of a Contracting Party that has partially refused protection, following the recording of a statement sent under Rule 18ter. You must indicate below the Contracting Parties in respect of which you want to renew the international registration for all goods and services, despite the fact that protection has been partially refused, following the recording of the aforementioned statement. This may be useful, pending the outcome of further proceedings in the Contracting Party concerned. An indication provided below will not be taken into account if the Contracting Party concerned has not been indicated in item 3 of this form. AG Antigua and Barbuda AL Albania AM Armenia AT Austria AU Australia AZ Azerbaijan BA Bosnia and Herzegovina BG Bulgaria BH Bahrain BN Brunei Durassalam BQ Bonaire, Saint Eustatius and Saba 1 BT Bhutan BW Botswana BX Benelux Others: BY Belarus CH Switzerland CN China CO Colombia CU Cuba CW Curaçao 1 CY Cyprus CZ Czechia DE Germany DK Denmark DZ Algeria EE Estonia EG Egypt EM European Union 2 ES FI Spain Finland FR France GB United Kingdom GE Georgia GH Ghana GM Gambia GR Greece HR Croatia HU Hungary IE IL IN IR IS IT JP Ireland Israel India Iran (Islamic Republic of) Iceland Italy Japan KE Kenya KG Kyrgyzstan KH Cambodia KP Democratic People s Republic of Korea KR Republic of Korea KZ Kazakhstan LA Lao People s Democratic Republic LI Liechtenstein LR Liberia LS Lesotho LT Lithuania LV Latvia MA Morocco MC Monaco MD Republic of Moldova ME Montenegro MG Madagascar MK The former Yugoslav Rep. of Macedonia MN Mongolia MX Mexico MZ Mozambique NA Namibia NO Norway NZ New Zealand OA African Intellectual Property Organization (OAPI) 3 OM Oman PH Philippines PL Poland PT Portugal RO Romania RS Serbia RU Russian Federation RW Rwanda SD Sudan SE Sweden SG Singapore SI Slovenia SK Slovakia SL Sierra Leone SM San Marino ST Sao Tome and Principe SX Sint Maarten (Dutch part) 1 SY Syrian Arab Republic SZ TJ Swaziland Tajikistan TM Turkmenistan TN Tunisia TR Turkey UA Ukraine US United States of America UZ Uzbekistan VN Viet Nam ZM Zambia ZW Zimbabwe 1 Territorial entity previously part of the Netherlands Antilles. 2 The designation of the European Union covers the following Member States: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom. 3 The designation of the African Intellectual Property Organization covers the following Member States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d Ivoire, Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo. 5 SIGNATURE 国際事務局に直接提出する場合は 下欄 (Signature:) に 名義人又はその代理人の署名又は押印 をしてください 上欄 (Name:) には 署名又は押印者の記名 ( 姓名順 ) をしてください ( 国際登録簿に By signing this form, I declare that 登録されている氏名 I am entitled to sign ( 名称 it under ) と一致する必要はありません the applicable law: ) Name: 締約国官庁を通じて提出する場合は 本国官庁が押印又は署名しますので 空欄にしてください Signature: 更新できない対象 範囲について 取消 (Cancellation) が記録された商品 役務 全部無効 (Total Invalidation) 又は放棄 (Renunciation) が記録されている指定締約国 一部無効 (Partial Invalidation) が国際登録簿に記録されている指定締約国については 無効とされた商品 役務 及び 限定 (Limitation) が 国際登録 (Registration) 事後指定 (Subsequent Designation) 又は限定 (Limitation) の請求を通して記録された指定締約国については 限定後のリストに含まれない商品 役務 ( 原文 :WIPO ホームページ MM11 表紙 IMPORTANT を参照 ) MM11(E) January 2017-139 -
18 3 18 3 3 AG EE LA RS AL EG LI RU AM EM 2 LR RW AT ES LS SD AU FI LT SE AZ FR LV SG BA GB MA SI BG GE MC SK BH GH MD SL BN GM ME SM BQ,, 1 BT BW BX BY CH CN CO CU CW 1 CY CZ DE DK DZ GR HR HU IE IL IN IR IS IT JP KE KG KH KP KR KZ MG MK MN MX MZ NA NO NZ OA (OAPI) 3 OM PH PL PT RO ST SX () 1 SY SZ TJ TM TN TR UA US UZ VN ZM ZW : 1 2 3 (OAPI) : : MM11(E) January 2017 139
FEE CALCULATION SHEET (a) INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT The International Bureau is hereby instructed to debit the required amount of fees from a current account opened with the International Bureau (if this box is checked, it is not necessary to complete (b)). Holder of the account: Account number: Identity of the party giving the instructions: (b) AMOUNT OF FEES Basic fee (653 Swiss francs) AT 4 BX3 Where applicable, surcharge for the grace period (326.50 Swiss Francs) 653 Complementary and supplementary fees: Number of designations for which complementary fee is applicable 1 x Complementary fee 100 Swiss francs Total amount of the complementary fees = 100 => 100 Number of classes of goods and services beyond three 1 x Supplementary fee 100 Swiss francs Total amount of the supplementary fees = 100 => 100 Individual fees (Swiss francs): Designated Contracting Parties Individual fee Designated Contracting Parties Individual fee Benelux 273 (c) METHOD OF PAYMENT Identity of the party effecting the payment: KOKUSAI Taro Payment received and acknowledged by WIPO Payment made to WIPO bank account IBAN No. CH51 0483 5048 7080 8100 0 Crédit Suisse, CH-1211 Geneva 70 Swift/BIC: CRESCHZZ80A Total individual fees => 273 GRAND TOTAL (Swiss francs) 1,126 WIPO receipt number Payment identification dd/mm/yyyy 18/09/2016 Payment made to WIPO postal account Payment identification dd/mm/yyyy (within Europe only) IBAN No. CH03 0900 0000 1200 5000 8 Swift/BIC: POFICHBE MM11(E) January 2017 140
(a) : : : (b) (653 ) 653 (326.50 ) : 1 x 100 = 100 => 100 1 x 100 = 100 => 100 (): Benelux 273 => 273 () 1,126 (c) : KOKUSAI Taro WIPO WIPO WIPO IBAN No. CH51 0483 5048 7080 8100 0 Crédit Suisse, CH-1211 Geneva 70 Swift/BIC: CRESCHZZ80A WIPO IBAN No. CH03 0900 0000 1200 5000 8 Swift/BIC: POFICHBE // 18/09/2016 // MM11(E) January 2017 140
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