Applicant name: business license name (exactly one word)

Applicant address: business license address (exactly one word, add province in front, such as municipality directly write city)

Do you want to apply together? Yes √ No

Postal code: (postal code where your company is located)

Contact person: (preferably write Your boss’s name)

Telephone (including area code): Landline

Fax (including area code):

Name of agency organization: (Can’t go by yourself? Need to fill in)

Trademark type: √General □ Collective □ Certification □ Three-dimensional □ Color

Trademark description: The standard writing of the trademark in Chinese is "XX", and the standard writing of the trademark in English is "XX" "Some" means the direct translation.

Category: 9

Goods/services: 1. Computer; 2. . . . . 10. Mobile phone. (Deadline)

(Attach page: page)

Applicant’s stamp (signature): (Stamped with your company’s official seal) Agency organization’s stamp: (No need to fill in)

Agent’s signature: