75 



SCHEDULE, 

 FORM A. 



The Timber Pi^otection Rules, 1921. 

 Application for Registration of a Property Mark. 



Full Name 



of 

 Applicant. 



Address. 



Proposed 



Property 



mark. 



.\i"ea within which 

 applicant proposes 

 to cut mahogany. 



I hereby apply for registration of the above property mark and the 

 issue to me of a Certificate of such registration. 



Date 19 . 



Applicant. 

 To 



The Conservator of Forests. 

 Coomassie. 



FORM B. 



The Timber Protection Rules, 1921. 

 Register of Property Marks. 



No. 



Date of 

 Registration. 



Mark. 



Person in 



whose 



name 



mark is 



registered. 



Address 

 of such 

 person. 



Area 



within 



which 



applicant 



proposes 



to cut 



mahogany. 



Signature 

 of Con- 

 servator 



of Forests. 



Re- 

 marks 



FORM C. 



The Timber Protection Rules, 1921. 

 Certificate of Registration of a Property Mark. 

 I hereby certify that the following property mark was registered by 

 me on the day of , 19 - 



in the name of of 



Date , 19 



Conservator of Forests. 



Made at a meeting of the Executive Council held at Government 

 House, Accra, this i6th day of February, 1921. 



F. G. GUGGISBERG, 



Governor. 



