Trademark Form

You are here: Home >> Trademark Form for New Registration

Bahasa Indonesia

Online Order Form. Fill out and submit the following online order form and, based on your data, we will complete Power of Attorney (PoA) and Declaration forms for you. We will, within ONE business day, send you by e-mail the completed PoA and Declaration forms for your/your client signature. Please send the simply signed PoA and Declaration back to us, along with other required documents, by registered mail/courier.

Trademark Form
For New Registration

* Indicates required field

Priority Claim *

Yes No

If with Priority Claim, Priority Date, No., & Country: *

Name, nationality & Full Address of Applicant(s) *

Their meaning / transliteration in English *

Specification of colors *

Class of goods or services (1-45) *

Designated Goods/Services *

Full name of the signatory *

First

Last

Title of the signatory *

Your Full Name *

First

Last

Your Company & Full Address *

Email *

Your Website *

Your Phone Number *

Your Fax Number *

Your Ref. *

Submit

Please ensure to recheck the correctness of your data before you click “Submit”.

Note:

Filing date shall be obtained when all the filing formalities are fulfilled.
Where the application claims convention priority, the required certified copy of the priority document must be submitted within 9 (nine) months as from the priority date. Otherwise, the application shall be treated as a usual application.

*All information given above will be treated in a strictly confidential manner.

Thank you for choosing Globomark for your trademark filing.

S H O R T C U T S

If you have suggestions for improving our online service experience, please let us know.

Trademark FormFor New Registration

Trademark Form
For New Registration