MM2 (E) – APPLICATION FOR INTERNATIONAL REGISTRATION UNDER

THE MADRID PROTOCOL

We strongly recommend that you use the Madrid Application Assistant (MAA) to file an
international application. Using the MAA will not only save you time and effort but allow you to
pay the application fees online with a credit card or by debiting them from a WIPO current
account.

For use by the applicant:

Number of continuation sheets

for several applicants:

Number of continuation sheets:

Number of MM17 forms:

MM18 form (if applicable, check the box)

Applicant’s reference (optional):

For use by the Office of origin:

Office’s reference (optional):

1. NAME OF THE OFFICE OF ORIGIN

2. APPLICANT1

If there is more than one applicant, indicate the number of applicants and complete the
“Continuation Sheet for Several Applicants”.

Number of applicants:

(a) Name:

(b) Address:

1
If there is more than one applicant, indicate the details for the first applicant only and provide the details
requested in the “Continuation Sheet for Several Applicants” attached to this form.

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(c) E-mail address2:

(d) Telephone number3:

(e) Nationality or legal nature and State of organization4:

(i) If the applicant is a natural person, indicate the nationality of the applicant:
Nationality of the
applicant:

(ii) If the applicant is a legal entity, provide both of the following indications:
Legal nature of the
legal entity:

State (country) and,

where applicable,
territorial unit within
that State (canton,
province, state, etc.),
under the law of which
the said legal entity
has been organized:

Correspondence details (optional):

(f) Preferred language English French Spanish

for correspondence5:

2
You must indicate the e-mail address of the applicant. If a representative is appointed, the e-mail address of
the applicant and of the representative must be different. If you do not indicate the e-mail address of the applicant or
it is the same as the e-mail address of the representative, you will receive an irregularity notice and delay
the processing of the application. The applicant must ensure that the e-mail address indicated here is correct and
kept up to date.
WIPO will send all communications for this international application and the resulting international registration
to the e-mail address of the applicant, unless an alternative e-mail address for correspondence is indicated in
item 2(g)(ii) or a representative is appointed in item 4.
Where a representative is appointed, WIPO will only send communications to the e-mail address of the
representative, except for a few communications where the Regulations require that WIPO send a copy to the holder
(see the Note for Filing Form MM2).
3
Indicating a phone number is not required, but it will allow WIPO to reach you if needed.
4
These indications may be required for certain designations; only provide indications in either item (i) or
item (ii) but not in both items.
5
If you do not indicate your preferred language, WIPO will send all communications concerning this
international application and the resulting international registration in the language of the international application.

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(g) Alternative address and e-mail address for correspondence6:

(i) Postal address:

(ii) E-mail address:

3. ENTITLEMENT TO FILE7

(a) Check the appropriate box:

(i) where the Contracting Party of the Office of origin mentioned in item 1 is a
State, the applicant is a national of that State; or

(ii) where the Contracting Party of the Office of origin mentioned in item 1 is an
organization, the name of the State of which the applicant is a national:
; or

(iii) the applicant is domiciled in the territory of the Contracting Party of the
Office of origin mentioned in item 1; or

(iv) the applicant has a real and effective industrial or commercial establishment
in the territory of the Contracting Party of the Office of origin mentioned in
item 1.

(b) Where the address of the applicant, given in item 2(b), is not in the territory of
the Contracting Party of the Office of origin mentioned in item 1, indicate in the
space provided below:

(i) if the box in paragraph (a)(iii) of the present item has been checked, the domicile
of the applicant in the territory of the Contracting Party of the Office of origin, or,

(ii) if the box in paragraph (a)(iv) of the present item has been checked, the address
of the applicant’s industrial or commercial establishment in the territory of the
Contracting Party of the Office of origin.

6
Use this only if you want WIPO to send all communications concerning this international application and the
resulting international registration to an address and e-mail address different from those indicated in item 2 (b)
and (c).
7
If there is more than one applicant, indicate the entitlement details for the first applicant only and provide the
details requested in the “Continuation Sheet for Several Applicants” attached to this form.

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4. APPOINTMENT OF A REPRESENTATIVE8

(a) Name:

(b) Address:

(c) E-mail address9:

(d) Telephone number10:

5. BASIC APPLICATION OR BASIC REGISTRATION

Basic application Date of the basic

number: application
(dd/mm/yyyy):

Basic registration Date of the basic

number: registration
(dd/mm/yyyy):

8
You must indicate the name, address and e-mail address of the representative; otherwise, WIPO cannot
record the appointment.
9
When a representative is appointed, WIPO will send all communications concerning this international
application and the resulting international registration only to the e-mail address of the representative, except for a
few communications where the Regulations require that WIPO send a copy to the holder (see the Note for Filing
Form MM2). The applicant and the representative must ensure that the e-mail address indicated here is accurate
and kept up to date.
10
Indicating a phone number is not required, but it will allow WIPO to reach your representative if needed.

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6. PRIORITY CLAIMED

The applicant claims the priority of the earlier filing mentioned below:

Office of earlier filing:

Number of earlier filing

(if available):

Date of earlier filing

(dd/mm/yyyy):

If the earlier filing does not relate to all the goods and services listed in item 10,
indicate in the space provided below the goods and services to which it does relate:

If several priorities are claimed above, check this box and use a continuation
sheet giving the information required for each priority claimed.

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7. THE MARK

(a) Place the representation of the mark as it appears in the basic application or
basic registration in the square below11; or attach it to this application as a
single digital file12.

(b) The applicant declares that the mark is to be considered as a mark in

standard characters.
11
A visual representation of the mark that shall not exceed a maximum size of 20 by 20 centimeters.
12
The single digital file can be a visual representation, in JPEG, PNG or TIFF format, a sound recording, in MP3
or WAV format (not exceeding 5 MB in size) or a motion or multimedia recording, in MP4 format (with AVC/H.264 or
MPEG-2/H.262 codecs, not exceeding 20 MB in size).

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(c) The mark consists exclusively of a color or a combination of colors as

such, without any figurative element.

8. COLOR(S) CLAIMED

(a) The applicant claims color as a distinctive feature of the mark.

Color or combination of colors claimed:

(b) Indication, for each color, of the principal parts of the mark that are in that
color (as it may be required for certain designations):

9. MISCELLANEOUS INDICATIONS

(a) Transliteration of the mark (this information is compulsory where the mark
consists of or contains matter in characters other than Latin characters, or
numerals other than Arabic or Roman numerals):

(b) Translation of the mark (as it may be required for certain designations; do not
check the box in item (c) if you provide a translation):

(i) into English:

(ii) into French:

(iii) into Spanish:

(c) The words contained in the mark have no meaning (and therefore cannot be
translated; do not check this box if you have provided a translation in item (b)).

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(d) Where applicable, check the relevant box(es) below:

Three-dimensional mark

Sound mark

Collective mark, certification mark, or guarantee mark

(e) Description of the mark (as it may be required for certain designations)

(i) Description of the mark contained in the basic application or basic registration,
where applicable (only use this item if the Office of origin requires to include
this description in the international application for the purposes of item 13(a)(ii)
of this form):

(ii) Voluntary description of the mark (any description of the mark by words,
including the description contained in the basic application or registration, if you
were not required to provide this description in item (e)(i) above):

(f) Verbal elements of the mark (where applicable):

(g) The applicant wishes to disclaim protection for the following element(s) of
the mark:

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10. GOODS AND SERVICES13

(a) List below the class(es) and goods and services to be covered by the
international registration14:

Class: Goods and Services15:

(b) The applicant wishes to limit the list of goods and services in respect of one
or more designations, as follows:

Designation: Class(es) or class(es) and goods and services for this designation:

If the space provided is not sufficient, check the box and use a continuation sheet.

13
You can use the Madrid Goods and Services Manager (MGS) to find indications accepted by WIPO. In MGS,
you can also find acceptance information for selected Offices. MGS is available at www.wipo.int/mgs.
14
Use font “Courier New” or “Times New Roman”, size 12 pt., or larger.
15
Use semicolon (;) to separate indications or goods or services listed in a given class. For example:
09 Screens for photoengraving; computers.
35 Advertising; compilation of statistics; commercial information agencies.

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11. DESIGNATIONS16

Check the corresponding boxes:

AE United Arab DZ Algeria KZ Kazakhstan RO Romania

Emirates EE Estonia LA Lao People’s RS Serbia
AF Afghanistan EG Egypt Democratic RU Russian
AG Antigua and Republic Federation
EM European
Barbuda Uniona LI Liechtenstein RW Rwanda
AL Albania ES Spain LR Liberia SD Sudan
AM Armenia FI Finland LS Lesothob SE Sweden
AT Austria FR France LT Lithuania SG Singaporeb
AU Australia GB United LV Latvia SI Slovenia
AZ Azerbaijan Kingdomb,j MA Morocco SK Slovakia
BA Bosnia and GE Georgia MC Monaco SL Sierra Leone
Herzegovina GG Guernseyb,k MD Republic of SM San Marino
BG Bulgaria GH Ghana Moldova
ST Sao Tome
BH Bahrain GM Gambia ME Montenegro and Principe
BN Brunei GR Greece MG Madagascar SX Sint Maarten
Darussalamb MK North (Dutch part)f
HR Croatia
BQ Bonaire, Macedonia SY Syrian Arab
HU Hungary
Saint MN Mongolia Republic
Eustatius and ID Indonesia
MU Mauritius SZ Eswatini
Sabaf,g IE Irelandb
MW Malawib TH Thailand
BR Brazile,h IL Israel
MX Mexico TJ Tajikistan
BT Bhutan IN Indiab
MY Malaysiab TM Turkmenistan
BW Botswana IR Iran (Islamic
Republic of) MZ Mozambiqueb TN Tunisia
BX Beneluxi
IS Iceland NA Namibia TR Türkiye
BY Belarus
IT Italy NO Norway TT Trinidad and
BZ Belizeb
NZ New Tobagob
CA Canada JM Jamaica
Zealandb UA Ukraine
CH Switzerland JP Japan
OA African US United States
CL Chile KE Kenya
Intellectual of Americad
CN China KG Kyrgyzstan Property UZ Uzbekistan
CO Colombia KH Cambodia Organization
VN Viet Nam
KP Democratic (OAPI)c
CU Cubae WS Samoa
People’s OM Oman
CV Cabo Verdeb ZM Zambia
Republic of PH Philippines
CW Curaçaof Korea ZW Zimbabwe
PK Pakistanb
CY Cyprus KR Republic of
PL Poland
CZ Czech Korea
Republic PT Portugal
DE Germany
DK Denmark

16
You can find information on the procedures in national or regional offices in the Member Profile Database,
available at www.wipo.int/madrid/memberprofiles.

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a
The designation of the European Union covers its Member States (Austria, Belgium, Bulgaria, Croatia,
Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy,
Latvia, Lithuania, Luxembourg, Malta, The Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia,
Spain, Sweden).
If the European Union is designated, it is compulsory to indicate a second language before the Office of
the European Union, among the following (check one box only):
French German Italian Spanish
Moreover, if the applicant wishes to claim the seniority of an earlier mark registered in, or for, a Member
State of the European Union, the official form MM17 must be annexed to the present international
application.
b
By designating Belize, Brunei Darussalam, Cabo Verde, Guernsey, India, Ireland, Lesotho, Malawi,
Malaysia, Mozambique, New Zealand, Pakistan, Singapore, Trinidad and Tobago or the United
Kingdom, the applicant declares that the applicant has the intention that the mark will be used by the
applicant or with the applicant’s consent in that country in connection with the goods and services identified
in this application.
c
The designation of the African Intellectual Property Organization (OAPI) covers the following Member
States: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d’Ivoire,
Equatorial Guinea, Gabon, Guinea, Guinea-Bissau, Mali, Mauritania, Niger, Senegal, Togo.
d
If the United States of America is designated, it is compulsory to annex to the present international
application the official form (MM18) containing the declaration of intention to use the mark required by this
Contracting Party. Item 2(e) of the present form should also be completed.
e
Brazil and Cuba have made a notification under Rule 34(3)(a) of the Regulations. Their respective
individual fees are payable in two parts. Therefore, if Brazil or Cuba is designated, only the first part of
the applicable individual fee is payable at the time of filing the present international application. The second
part will have to be paid only if the Office of the Contracting Party concerned is satisfied that the mark which is
the subject of the international registration qualifies for protection. The date by which the second part must be
paid, and the amount due, will be notified to the holder of the international registration at a later stage.
f
Territorial entity previously part of the former Netherlands Antilles.
g
Protection in BQ (Bonaire, Saint Eustatius and Saba) is granted automatically with the designation (see
Information Notice No. 27/2011).
h
By designating Brazil, the applicant declares that the applicant, or a company controlled by the applicant,
effectively and lawfully conducts business in connection with the goods and services for which Brazil is
being designated; and, agrees to receive notifications, including summons, not covered by the Madrid
Protocol concerning the international registration of the mark that is the subject of this international
application, issued in judicial proceedings held in Brazil, by post.
i
The designation of Benelux covers the following States: Belgium, Luxembourg and the Netherlands.
j
The designation of the United Kingdom covers England, Wales, Scotland, Northern Ireland, the British
Overseas Territory of the Falkland Islands (Malvinas) and Gibraltar, as well as the two British Crown
Dependencies of the Isle of Man and Jersey (see Information Notices No. 38/2015 and 77/2020).
k
The Bailiwick of Guernsey is a self-governing British Crown Dependency (see Information Notice
No. 77/2020).

12. SIGNATURE OF THE APPLICANT AND/OR THEIR REPRESENTATIVE

If required or allowed by the Office of origin.

By signing this form, I declare that I am entitled to sign it under the applicable law.
Signature:

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13. CERTIFICATION AND SIGNATURE OF THE INTERNATIONAL APPLICATION BY

THE OFFICE OF ORIGIN

(a) Certification. The Office of origin certifies:

(i) That the request to present this application was received on (dd/mm/yyyy):

(ii) that the applicant named in item 2 is the same as the applicant named in the basic
application or the holder named in the basic registration mentioned in item 5, as
the case may be,

that any indication given in item 7(c), 9(d) or 9(e)(i) appears also in the basic
application or the basic registration, as the case may be,

that the mark in item 7(a) corresponds to the mark in the basic application or the
basic registration, as the case may be,

that, if color is claimed as a distinctive feature of the mark in the basic application
or the basic registration, or the mark in the basic application or basic registration
is applied to be or is protected in color, a color claim is included in item 8 or that, if
color is claimed in item 8 without having being claimed in the basic application or
basic registration, the mark in the basic application or basic registration is in fact
in the color or combination of colors claimed, and

that the goods and services listed in item 10 are covered by the list of goods and
services appearing in the basic application or basic registration, as the case
may be.

Where the international application is based on two or more basic applications or basic
registrations, the above declaration shall be deemed to apply to all those basic applications
or basic registrations.

(b) Name of the Office:

(c) Name and signature of the official signing on behalf of the Office:
By signing this form, I declare that I am entitled to sign it under the applicable law.

(d) E-mail address of the contact person in the Office:

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METHOD OF PAYMENT

If you want to debit the amount of the fees from your Current Account at WIPO, tick the box
and provide the information under item (a). If you have already transferred those amounts to
WIPO’s bank or postal account, provide as much information as possible under item (b),
which would allow WIPO to identify and allocate your payment.

(a) INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT AT WIPO

The International Bureau is hereby instructed to debit the required amount of fees from
a current account opened with WIPO (if this box is checked, it is not necessary to
complete (b)).

Holder of the account:

Account number:

Identity of the party giving

the instructions:

(b) BANK OR POSTAL TRANSFER

Identity of the party effecting the

payment:

Payment received and acknowledged WIPO receipt number

by WIPO

Payment made to WIPO bank account Payment identification dd/mm/yyyy

IBAN No. CH51 0483 5048 7080 8100 0
Crédit Suisse, CH-1211 Geneva 70
Swift/BIC: CRESCHZZ80A

Payment made to WIPO postal account Payment identification dd/mm/yyyy

(within Europe only)
IBAN No. CH03 0900 0000 1200 5000 8
Swift/BIC: POFICHBE

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FEE CALCULATION SHEET

AMOUNT OF FEES (see Fee Calculator: www.wipo.int/madrid/en/fees/calculator.jsp)

Basic fee: 653 Swiss francs if the representation of the mark is in black and
white and 903 Swiss francs if the representation is in color. (For international
applications filed by applicants whose country of origin is a Least Developed
Country, in accordance with the list established by the United Nations
(www.wipo.int/ldcs/en/country), 65 Swiss francs if the representation is in
black and white and 90 Swiss francs if the representation is in color.)

Complementary and supplementary fees:

Number of designations for Complementary Total amount of the

which complementary fee is fee complementary fees
applicable
x 100 Swiss = =
francs
Number of classes of goods Supplementary Total amount of the
and services beyond three fee supplementary fees
x 100 Swiss = =
francs

Individual fees (Swiss francs)17:

Designations Individual fee Designations Individual fee

Total individual fees =

GRAND TOTAL (Swiss francs) =

17
If the Office of origin is bound by the Agreement and the Protocol, you will pay standard fees for those
designations that are also bound by both treaties, even where individual fees apply.

MM2 (E) – May 2023

 CONTINUATION SHEET FOR SEVERAL APPLICANTS No. of

Please, complete a separate continuation sheet for each applicant.

APPLICANT No. of

(a) Name:

(b) Address:

(c) E-mail address18:

(d) Telephone number19:

(e) Nationality or legal nature and State of organization20:

(i) If the applicant is a natural person, indicate the nationality of the applicant:
Nationality of the
applicant:

(ii) If the applicant is a legal entity, provide both of the following indications:

Legal nature of the legal

entity:

State (country) and, where

applicable, territorial unit
within that State (canton,
province, state, etc.), under
the law of which the said
legal entity has been
organized:

18
You must indicate the e-mail address of each applicant. Where there is more than one applicant, each
applicant must provide their own e-mail address, which must be different from each other and their representative,
if any. The applicant must ensure that the e-mail address indicated here is correct and kept up to date.
WIPO will send all communications concerning the international application and the resulting international
registration only to the e-mail address of the applicant named first in item 2 of the attached form, unless an
alternative e-mail address for correspondence is indicated in item 2(g)(ii) or a representative is appointed in item 4.
19
Indicating a phone number is not required, but it will allow WIPO to reach you if needed.
20
These indications may be required for certain designations; only provide indications in either item (i) or
item (ii) but not in both items.

MM2 (E) – May 2023

 ENTITLEMENT TO FILE

(a) Check the appropriate box:

(i) where the Contracting Party of the Office of origin mentioned in item 1 of the
attached form is a State, the applicant is a national of that State; or

(ii) where the Contracting Party of the Office of origin mentioned in item 1 of the
attached form is an organization, the name of the State of which the
applicant is a national:
; or

(iii) the applicant is domiciled in the territory of the Contracting Party of the
Office of origin mentioned in item 1 of the attached form; or

(iv) the applicant has a real and effective industrial or commercial establishment
in the territory of the Contracting Party of the Office of origin mentioned in
item 1 of the attached form.

(b) Where the address of the applicant, given above, is not in the territory of the
Contracting Party of the Office of origin mentioned in item 1, indicate in the space
provided below:

(i) if the box in paragraph (a)(iii) above, has been checked, the domicile of the
applicant in the territory of the Contracting Party of the Office of origin, or,

(ii) if the box in paragraph (a)(iv) above, has been checked, the address of the
applicant’s industrial or commercial establishment in the territory of the
Contracting Party of the Office of origin.

MM2 (E) – May 2023

 CONTINUATION SHEET No. of

MM2 (E) – May 2023