Copia Certificada Beglaubigte Abschrift Certified Copy Copie Certifiée Copia Autenticata
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1 OAMI OFICINA DE ARMONIZACIÓN DEL MERCADO INTERIOR (MARCAS, DIBUJOS Y MODELOS) HABM HARMONISIERUNGSAMT FÜR DEN BINNENMARKT (MARKEN, MUSTER UND MODELLE) OHIM OFFICE FOR HARMONIZATION IN THE INTERNAL MARKET (TRADE MARKS AND DESIGNS) OHMI OFFICE DE L HARMONISATION DANS LE MARCHÉ INTÉRIEUR (MARQUES, DESSINS ET MODÈLES) UAMI UFFICIO PER L ARMONIZZAZIONE NEL MERCATO INTERNO (MARCHI, DISEGNI E MODELLI) D112 Copia Certificada Beglaubigte Abschrift Certified Copy Copie Certifiée Copia Autenticata Código de identificación Identifizierungscode Identification code Code d identification Codice di identificazione: HBRW34UUWUD4RGRMTB2ARJIOP4 Por la presente se certifica que el documento que se adjunta es una copia conforme de la solicitud de marca comunitaria cuyo número y fecha de presentación aparecen a continuación. El documento original puede ser consultado en el enlace de la OAMI introduciendo el código de identificación indicado más arriba. Hiermit wird bestätigt, daß die Abschrift der Anmeldung, die diesem Beleg beigeheftet ist, eine genaue Abschrift der Anmeldung der Gemeinschaftsmarke ist, dessen Nummer und Anmeldetag nachstehend aufgeführt sind. Das Originaldokument kann mittels Eingabe eines Identifizierungscode bei folgender Webadresse eingesehen werden. This is to certify that the attached document is an exact copy of the application for a Community trade mark bearing the number and date of filing indicated below. The original document can be consulted introducing the identification code indicated above at the following OHIM web page link Par la présente, il est certifié que le document annexé est une copie conforme de la demande de marque communautaire portant le numéro et la date de dépôt qui figurent ci-après. Le document original peut être consulté sur le site web de l'ohmi en introduisant le code d'identification indiqué ci-dessus. Con la presente si certifica che il documento allegato è una copia conforme della domanda di marchio comunitario contrassegnata dal numero e dalla data di deposito riportati sotto. Il Documento originale può essere consultato introducendo il codice di identificazione sopra indicato, nel indirizzo della pagina Web della UAMI. Núm./Nr./No/n /n Fecha/Datum/Date/Date/Data 27/02/2013 Guido Fael Departamento de Apoyo a las Operaciones Hauptabteilung Unterstützung des Kerngeschäfts Operations Support Department Département «Soutien aux opérations» Dipartimento Supporto alle operazioni Avenida de Europa, 4 E Alicante Spain. Tel Fax: Internet:
2 - OFFICE FOR HARMONIZATION IN THE INTERNAL MARKET (OHIM) Trade Marks Copia Certificada / Beglaubigte Abschrift/ Certified and Copy Designs / Copie Certifiée / Copia Autenticata Demande de marque communautaire Application / Domanda for di a marchio Community comunitario trade mark Languages First Language: Second Language: Czech English I want to receive all correspondence in the second language: I will provide translations of the Disclaimer, Description and List of Goods & Services in the 2nd language: Applicant(s) Date of letter of receipt (DD/MM/YYYY) 27/02/2013 Applicant Number 1 Number of pages (including this one) 5 Your Reference: o o Applicant OHIM ID Applicant Type: Natural Person First Name: Ilja Surname: Jorga Nationality: SERBIA Street & House No.: Nehruova 114/11 City: Belgrade Postal Code: Country: SERBIA Postal Address: Telephone Number: Fax Number: address: Website: Representative(s) Representative Number 1 Representative Type: OHIM Professional Representative Name of Association: Surname: Kolátor First Name: Kamil Street & House No.: Dolní náměstí 679/5 City: Jablonec nad Nisou Postal Code: Country: CZECH REPUBLIC Postal Address: Kamil Kolátor Dolní náměstí 679/5 CZ Jablonec nad Nisou REPÚBLICA CHECA Telephone Number: Fax Number: address: tm@kolator.com Website: National Search Mark Type Type of mark: Representation of Mark: Word Element(s) of the Mark: Indication of Colour(s): Description of Mark: I want to receive national search reports: o figurative Annex1 Representative OHIM ID Page * Mandatory 1 of 5details 1 of 5
3 Disclaimer: Collective Community Mark o List of Goods & Services Class ID Goods & Services Language 25 Oděvy, obuv, kloboučnické zboží. CS 35 Propagační činnost, reklama; Pomoc při řízení obchodní činnosti; Obchodní administrativa; Kancelářské práce. 41 Výchova; Vzdělávání; Zábava; Sportovní a kulturní aktivity. CS Payment of Fees Pay by: Bank Transfer (BT) Basic Fee Total Fee Transfer to one of our bank accounts Bank Transfer Address Account number BIC Code IBAN Banco Bilbao Vizcaya Argentaria Alicante / SPAIN BBVAESMMXXX ES La Caixa Alicante / SPAIN CAIXESBBXXX ES CS Signature 27/02/2013 First Name and Surname Capacity of the signatory Position Kamil Kolátor OHIM Professional Representative Annexes 2 of 5 Page 2 of 5
4 Annex1 3 of 5 Page 3 of 5
5 4 of 5 Page 4 of 5
6 5 of 5 Page 5 of 5
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