ANNEX IIIREQUEST OF OBJECTION TO A DESIGNATION OF ORIGIN OR GEOGRAPHICAL INDICATION
Date of receipt (DD/MM/YYYY) …
[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]
Objector
Name of legal or natural person …
Full address (street number and name, town/city and postal code, country) …
Nationality …
Tel, fax, e-mail …
Intermediary
Member State(s) (*)
Third-country authority (optional) (*)
[(*) delete as appropriate]
Name(s) of intermediary(ies) …
Full address(es) (street number and name, town/city and postal code, country) …
Objected name …
Designation of origin (*)
Geographical indication (*)
[(*) delete as appropriate]
Prior rights
Protected designation of origin (*)
Protected geographical indication (*)
National geographical indication (*)
[(*) delete as appropriate]
Name …
Registration number …
Date of registration (DD/MM/YYYY) …
Trademark
Sign …
List of products and services …
Registration number …
Date of registration …
Country of origin …
Reputation/renown (*) …
[(*) delete as appropriate]
Grounds for objection
Article 42(1) of Regulation (EC) No 479/2008 (*)
Article 42(2) of Regulation (EC) No 479/2008 (*)
Article 43(2) of Regulation (EC) No 479/2008 (*)
Article 45(2)(a) of Regulation (EC) No 479/2008 (*)
Article 45(2)(b) of Regulation (EC) No 479/2008 (*)
Article 45(2)(c) of Regulation (EC) No 479/2008 (*)
Article 45(2)(d) of Regulation (EC) No 479/2008 (*)
[(*) delete as appropriate]
Explanation of ground(s) …
Name of signatory …
Signature …