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ANNEX IIIU.K.REQUEST OF OBJECTION TO A DESIGNATION OF ORIGIN OR GEOGRAPHICAL INDICATION

Date of receipt (DD/MM/YYYY) …U.K.

[to be completed by the Commission]

Number of pages (including this page) …

Language of request of objection …

File number …

[to be completed by the Commission]

ObjectorU.K.

Name of legal or natural person …

Full address (street number and name, town/city and postal code, country)

Nationality …

Tel, fax, e-mail …

IntermediaryU.K.

[(*) delete as appropriate]

Name(s) of intermediary(ies) …

Full address(es) (street number and name, town/city and postal code, country)

Objected name …U.K.

[(*) delete as appropriate]

Prior rightsU.K.

Grounds for objectionU.K.

[(*) delete as appropriate]

Explanation of ground(s)U.K.

Name of signatory …

Signature …