ANNEX II

ANNEX VIII REQUEST OF OBJECTION TO A TRADITIONAL TERM

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

[(*) delete as appropriate]

Name(s) of intermediary(ies) …

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

Objected traditional term

Prior rights

[(*) delete as appropriate]

Name …

Registration number …

Date of registration (DD/MM/YYYY) …

Sign …

List of products and services …

Registration number …

Date of registration …

Country of origin …

Reputation/renown (*) …

[(*) delete as appropriate]

Grounds for objection

[(*) delete as appropriate]

Explanation of ground(s)

Name of signatory …

Signature …