ANNEX IXREQUEST OF CANCELLATION CONCERNING A TRADITIONAL TERM
Date of receipt (DD/MM/YYYY) …
[to be completed by the Commission]
Number of pages (including this page) …
Author of the request of cancellation …
File number …
[to be completed by the Commission]
Language of request of cancellation …
Name of legal or natural person …
Full address (street number and name, town/city and postal code, country) …
Nationality …
Tel, fax, e-mail …
Contested traditional term …
Legitimate interest of the author of the request …
Declaration by the Member State or third country …
Grounds for cancellation
Article 31 (*)
Article 35 (*)
Article 40(2)(a) (*)
Article 40(2)(b) (*)
Article 40(2)(c) (*)
Article 41(3) (*)
Article 42(1) (*)
Article 42(2) (*)
Article 54 of Regulation (EC) No 479/2008 (*)
[(*) delete as appropriate]
Substantiation of the ground(s) …
Name of signatory …
Signature …