MM2(e) Application for International Registration Under the Mad

Madrid Protocol

form_mm2-editable1 2022

Application for International Registration (Individuals or Households)

OMB: 0651-0051

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MM2 (E) – APPLICATION FOR INTERNATIONAL REGISTRATION UNDER
THE MADRID PROTOCOL
We strongly recommend that you use the Madrid Application Assistant to file an international
application when paying the application fees with a credit card or 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. CONTRACTING PARTY WHOSE OFFICE IS 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.

MM2 (E) – March 2022

MM2 (E), page 2
(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
for correspondence5:

2

English

French

Spanish

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
Certain designated Contracting Parties may require these indications; 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.

MM2 (E) – March 2022

MM2 (E), page 3
(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 mentioned in item 1 is a State, the applicant is
a national of that State; or

(ii)

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

(b)

(iii)

the applicant is domiciled in the territory of the Contracting Party mentioned
in item 1; or

(iv)

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

Where the address of the applicant, given in item 2(b), is not in the territory of
the Contracting Party 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 that Contracting Party, 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 that
Contracting Party.

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.

MM2 (E) – March 2022

MM2 (E), page 4
4. APPOINTMENT OF A REPRESENTATIVE8
(a)

Name:

(b)

Address:

(c)

E-mail address9:

(d)

Telephone number10:

5. BASIC APPLICATION OR BASIC REGISTRATION
Basic application
number:

Date of the basic
application
(dd/mm/yyyy):

Basic registration
number:

Date of the basic
registration
(dd/mm/yyyy):

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):

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.

MM2 (E) – March 2022

MM2 (E), page 5
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.
7. THE MARK
(a)

Place the reproduction of the mark,
as it appears in the basic application
or basic registration, in the square
below.

(b)

Where the reproduction in item (a)
is in black and white and color is
claimed in item 8, place a color
reproduction of the mark in the
square below.

(c)

The applicant declares that the mark is to be considered as a mark in
standard characters.

(d)

The mark consists exclusively of a color or a combination of colors as
such, without any figurative element.

MM2 (E) – March 2022

MM2 (E), page 6
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 may be required by certain designated Contracting Parties):

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 may be required by certain designated Contracting
Parties; do not check the box in item (c) if you provide a translation in this item):
(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)).

(d)

Where applicable, check the relevant box(es) below:
Three-dimensional mark
Sound mark
Collective mark, certification mark, or guarantee mark

MM2 (E) – March 2022

MM2 (E), page 7
(e)

Description of the mark (as may be required by certain designated Contracting
Parties, such as, for example, the United States of America)
(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:

MM2 (E) – March 2022

MM2 (E), page 8
10. GOODS AND SERVICES11
(a)

Indicate below the goods and services for which the international
registration is sought12:

Class:

Goods and Services13:

(b)

The applicant wishes to limit the list of goods and services in respect of one
or more designated Contracting Parties, as follows:

Contracting Party:

Class(es) or list of goods and services for which protection is sought in
this Contracting Party:

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

11

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 Contracting Parties. MGS is available at www.wipo.int/mgs.
12
Use font “Courier New” or “Times New Roman”, size 12 pt., or larger.
13
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.

MM2 (E) – March 2022

MM2 (E), page 9
11. DESIGNATIONS14
Check the corresponding boxes:
AE United Arab
Emirates
AF Afghanistan
AG Antigua and
Barbuda
AL Albania
AM Armenia
AT Austria
AU Australia
AZ Azerbaijan
BA Bosnia and
Herzegovina
BG Bulgaria
BH Bahrain
BN Brunei
Darussalamb
BQ Bonaire,
Saint
Eustatius and
Sabaf,g
BR Brazile,h
BT Bhutan
BW Botswana
BX Beneluxi
BY Belarus
CA Canada
CH Switzerland
CN China
CO Colombia
CU Cubae
CW Curaçaof
CY Cyprus
CZ Czech
Republic
DE Germany
DK Denmark

14

DZ
EE
EG
EM
ES
FI
FR
GB
GE
GG
GH
GM
GR
HR
HU
ID
IE
IL
IN
IR
IS
IT
JM
JP
KE
KG
KH
KP

KR

Algeria
Estonia
Egypt
European
Uniona
Spain
Finland
France
United
Kingdomb,j
Georgia
Guernseyb,k
Ghana
Gambia
Greece
Croatia
Hungary
Indonesia
Irelandb
Israel
Indiab
Iran (Islamic
Republic of)
Iceland
Italy
Jamaica
Japane
Kenya
Kyrgyzstan
Cambodia
Democratic
People’s
Republic of
Korea
Republic of
Korea

KZ Kazakhstan
LA Lao People’s
Democratic
Republic
LI Liechtenstein
LR Liberia
LS Lesothob
LT Lithuania
LV Latvia
MA Morocco
MC Monaco
MD Republic of
Moldova
ME Montenegro
MG Madagascar
MK North
Macedonia
MN Mongolia
MW Malawib
MX Mexico
MY Malaysiab
MZ Mozambiqueb
NA Namibia
NO Norway
NZ New
Zealandb
OA African
Intellectual
Property
Organization
(OAPI)c
OM Oman
PH Philippines
PK Pakistanb
PL Poland
PT Portugal

RO Romania
RS Serbia
RU Russian
Federation
RW Rwanda
SD Sudan
SE Sweden
SG Singaporeb
SI Slovenia
SK Slovakia
SL Sierra Leone
SM San Marino
ST Sao Tome
and Principe
SX Sint Maarten
(Dutch part)f
SY Syrian Arab
Republic
SZ Eswatini
TH Thailand
TJ Tajikistan
TM Turkmenistan
TN Tunisia
TR Turkey
TT Trinidad and
Tobagob
UA Ukraine
US United States
of Americad
UZ Uzbekistan
VN Viet Nam
WS Samoa
ZM Zambia
ZW Zimbabwe

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

MM2 (E) – March 2022

MM2 (E), page 10
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 Brunei Darussalam, Guernsey, India, Ireland, Lesotho, Malawi, Malaysia, Mozambique,
New Zealand, Pakistan, Singapore, Trinidad and Tobago or the United Kingdom, the applicant declares
that he/she has the intention that the mark will be used by him/her or with his/her 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

Cuba, Brazil and Japan have made a notification under Rule 34(3)(a) of the Regulations. Their respective
individual fees are payable in two parts. Therefore, if Cuba, Brazil or Japan 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:

MM2 (E) – March 2022

MM2 (E), page 11
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(d), 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) is the same as 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, the same 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:

MM2 (E) – March 2022

MM2 (E), page 12
FEE CALCULATION SHEET
(a)

INSTRUCTIONS TO DEBIT FROM A CURRENT ACCOUNT
The International Bureau is hereby instructed to debit the required amount of fees from
a current account opened with the International Bureau (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)

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

Basic fee: 653 Swiss francs if the reproduction of the mark is in black and
white only and 903 Swiss francs if there is a reproduction 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 reproduction is
in black and white only and 90 Swiss francs if there is a reproduction in color.)
Complementary and supplementary fees:
Number of designations for
Complementary
which complementary fee is fee
applicable
x 100 Swiss
francs
Number of classes of goods Supplementary
and services beyond three
fee
x 100 Swiss
francs
Individual fees (Swiss francs)15:
Designated Contracting
Individual fee
Parties

Total amount of the
complementary fees
=

=

Total amount of the
supplementary fees
=

=

Designated Contracting
Parties

Individual fee

Total individual fees =
GRAND TOTAL (Swiss francs) =
15

Where individual fees have been declared, you will pay these fees instead of the standard fees except where
the designated Contracting Party and the Contracting Party of the holder are both States bound by the Protocol and
the Agreement, in which case, a complementary fee is payable.

MM2 (E) – March 2022

MM2 (E), page 13
(c)

METHOD OF PAYMENT

Identity of the party effecting the
payment:
Payment received and acknowledged
by WIPO

WIPO receipt number

Payment made to WIPO bank account
IBAN No. CH51 0483 5048 7080 8100 0
Crédit Suisse, CH-1211 Geneva 70
Swift/BIC: CRESCHZZ80A

Payment identification

dd/mm/yyyy

Payment made to WIPO postal account
(within Europe only)
IBAN No. CH03 0900 0000 1200 5000 8
Swift/BIC: POFICHBE

Payment identification

dd/mm/yyyy

MM2 (E) – March 2022

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 address16:

(d)

Telephone number17:

(e)

Nationality or legal nature and State of organization18:
(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:

16

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.
17
Indicating a phone number is not required, but it will allow WIPO to reach you if needed.
18
Certain designated Contracting Parties may require these indications; only provide indications in either
item (i) or item (ii) but not in both items.

MM2 (E) – March 2022

ENTITLEMENT TO FILE
(a)

(b)

Check the appropriate box:
(i)

where the Contracting Party 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 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 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 mentioned in item 1 of the attached
form.

Where the address of the applicant, given above, is not in the territory of the
Contracting Party 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 that Contracting Party, 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 that
Contracting Party.

MM2 (E) – March 2022

CONTINUATION SHEET

MM2 (E) – March 2022

No.

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