Date of receipt (DD/MM/YYYY) …
[to be completed by the Commission]
Number of pages (including this page) …
Language of the objection …
File number …
[to be completed by the Commission]
Traditional term objected to …
Name of the objector (Member State or third country, or any legal or natural person having a legitimate interest)
Full address (street number and name, town/city and postal code, country) …
Nationality …
Telephone, fax, email …
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) …
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]
Article 27 of Delegated Regulation (*)
Article 32(2) of Delegated Regulation (*)
Article 33(1) of Delegated Regulation (*)
Article 33(2) of Delegated Regulation (*)
[(*) delete as appropriate]
[Provide duly substantiated reasons and justification, details of the facts, evidence and comments in support of the objection. Provide the necessary documents in case of an objection based on the existence of an earlier trademark of reputation and renown].
Name of signatory …
Signature …