Applicant
(Trademark holder)

Company name	*
Country	*
Address	*
Phone No.	*
FAX No.	*

Representative of
the Applicant

Business name	*
Country	*
Address	*
Phone No.	*
FAX No.	*
Person in charge	*
Email address	*
	Re-enter the email address for confirmation
Email address	*

Trademark Registration No.
in Japan
*1(See the note to the right)

1st Registration No.	*
2nd Registration No.
3rd Registration No.
4th Registration No.
5th Registration No.
6th Registration No.
7th Registration No.
8th Registration No.
9th Registration No.
10th Registration No.

Please attach trademark data*
(5 MB max)

Important
Please send us electronic data of the trademark identical to the one granted trademark registration in Japan. In addition, trademarks appear in the Directory as black and white. If the trademark granted trademark registration in Japan is in color, please send us data of the trademark that has been converted to black and white.

Electronic data format for the registered trademark *

BMP   JPEG   GIF   AI  

Domestic rightful person and contact *
*2(See the note to the right)

Shobayashi International Patent and Trademark Office
The following contact (please specify the contact below)

Name of contact
Address
Phone No.

Mailing of the Directory and the debit note

I wish to receive the Directory and the debit note together with documents from a different pending case.

If you have a pending patent or trademark application or similar case with Shobayashi, we can send you the Directory and our debit note as an enclosure of a communication package in which documents associated with the pending case are sent out. If you request this, please select the above mailing option.

As soon as you click on the Send button, your application will be sent out. Please double check the information you entered before clicking on the button.