MM17(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS CLAIM OF SENIORITY – EUROPEAN COMMUNITY (this form must be annexed, where applicable, to an international application designating the European Community or to a subsequent designation of the European Community) World Intellectual Property Organization 34, chemin des Colombettes, P.O. Box 18, 1211 Geneva 20, Switzerland Tel.: (41-22) 338 9111 Fax (International Trademark Registry): (41-22) 740 1429 e-mail: intreg.mail@wipo.int – Internet: http://www.wipo.int MM17(E) – I.07 MM17(E) CLAIM OF SENIORITY With respect to the designation of the European Community in the international application or in the subsequent designation indicated below, the applicant or holder wishes to claim the seniority of an earlier mark registered in, or for, a Member State of the European Community. The seniority claim relates to a designation of the European Community in (check the appropriate box): An international application (i) A subsequent designation Name of the applicant: (i) (ii) Basic application or registration number (as indicated in item 5 of the international application form): Name of the holder: (ii) Corresponding international registration number: PARTICULARS OF THE EARLIER MARK FOR WHICH SENIORITY IS CLAIMED (1) Member State of the European Community in, or for, which the earlier mark is registered – (only one box must be checked; if the applicant or holder wishes to claim the seniority of a mark registered in, or for, other Member States, a distinct MM17 form must be completed for each of these other Member States – there must be as many completed MM17 forms as there are Member States for which a seniority is claimed) AT BG BX CY CZ DE DK (2) Austria Bulgaria Benelux Cyprus Czech Republic Germany Denmark EE ES FI FR GB GR Estonia Spain Finland France United Kingdom Greece HU IE IT LT LV MT Hungary Ireland Italy Lithuania Latvia Malta PL PT RO SE SI SK Poland Portugal Romania Sweden Slovenia Slovakia Nature of the registration (check the appropriate box): National registration in the Member State, or International registration having effect in the Member State (3) Registration number: (4) Filing date: (dd/mm/yyyy) (5) Goods and services for which the earlier mark is registered (indicate these goods and services, grouped in the appropriate class(es)): If the space provided is not sufficient, check box and use a continuation sheet MM17(E) – I.07 Page 2 CONTINUATION SHEET MM17(E) – I.07 No: .......... of ..........