[If the applicant is a corporation, please give the full legal name. If the applicant is an individual, please give the full name of the individual and if trading under a name other than the individual’s name, please give both names. If the applicant is a partnership, please give the name under which the partnership trades]

[The applicant may have to disclaim a word if it is a geographical name, common name of your goods, services, or a word or design which cannot enjoy the exclusive right of use under the Trade-marks Act]

The first day of use in Canada and the ordinary commercial names of the goods or services in this application:

[If yes, we will need a copy of the foreign registration certificate or certificates, or a copy of the foreign application and the application number]

[If so, you may be able to make a priority claim to use the filing date in your home country in the application and if yes, please attach a copy of the earliest trade-mark application which was filed in a country of the Union or WTO]