Application for Subsequent Designation (Individuals or Households)

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PTO-2132
Approved for use through XX/XX/20XX. OMB 0651-0051
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number

United States Patent and Trademark Office
Application for Subsequent Designation
INSTRUCTIONS FOR SUBSEQUENT DESIGNATION
NOTE: If you have installed Anti-Spam filters or software on your email service, please ensure that
legitimate emails from [email protected] are not falsely identified as spam or junk.
1. To navigate through each separate section of this form
Do not use your browser's "Back" or "Forward" buttons. Instead, use the
"< Previous" or "Next >" buttons at the bottom of each section of the form. As
you navigate through the sections, each section is validated before the next
section is displayed. If there are any errors, you must fix them before proceeding
to the next section. To save data already entered within a section, you must
first click on "Next" prior to using the "Previous" button to return to any
previous section.
2. To file the form electronically, please complete the following steps:
 Complete all fields for which information is known. Fields prefaced with an
asterisk (*) are required fields for filing purposes and must be completed.
 Use the Pay/Submit button at the bottom of the Validation Page. After
accessing the proper screen for payment and making the appropriate
entries, you will receive a confirmation screen if your transmission was
successful.
 You will also receive an e-mail acknowledgement of your submission
providing a summary of your filing. Please contact [email protected] within
24 hours of transmission (or by the next business day) if you do not receive
this e-mail acknowledgement.

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3. Help Instructions:
Each field name links to the relevant section of the "HELP" instructions that will
appear at the bottom of the screen.
Check here if you do not want the scrolling help to display automatically at
the bottom of each screen in the instructions page, AND/OR if the screen reader
must allow the filer to enter the information with no problems.
4. Contact Information:
If you need help resolving technical glitches, you can e-mail us at
[email protected]. For general information about the Madrid Protocol, please
contact the Madrid Processing Unit at [email protected], or (571) 272-8910. Please
include your telephone number in your e-mail so we can talk to you directly, if
necessary. Or, to view the information provided by the International Bureau
concerning the Madrid System for the international registration of marks, click
Madrid System for the International Registration of Marks.
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navigate through any portion of this form. Always use the navigational tools
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please ensure that legitimate emails from [email protected] are not falsely

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Instructions Section

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identified as spam or junk.
6. Other:
NOTE: This form has a session time limit of 60 minutes. A session begins
once you create and enter the form via the Form Wizard. If you exceed the
60 minute time limit, the form will not validate and you must begin the
entire process again; however, you can extend the time limit. You are
encouraged to have all information required to complete the form
available prior to starting your session.

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PTO Form 2132 (XX/XX/20XX)
OMB No. 0651-0051 (Exp. XX/XX/20XX)

United States Patent and Trademark Office
Application for Subsequent Designation
INTERNATIONAL REGISTRATION IDENTIFICATION SECTION
*INTERNATIONAL REGISTRATION NUMBER
Enter the one International Registration Number as the basis for this Subsequent Designation.
Enter the number with NO punctuation or other symbols included. The number must be at least 7
characters long. If necessary, add a leading "0" to the number (e.g., 0794321).
WARNING: If your entered international registration number is not accepted, but you recently
received notification with this number from the International Bureau, the USPTO may not yet have
received the same notification. The USPTO database must contain the number for this form to work,
and the USPTO may receive the notification up to two weeks after receipt by the
applicant/owner/representative.
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Paperwork Reduction Act Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for
failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995, unless the information
collection has a valid OMB Control Number. The OMB Control Number for this information collection is 0651-0051. Public burden for this
form is estimated to average 75 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the information collection. Send comments regarding this burden
estimate or any other aspect of this information collection, including suggestions for reducing this burden to the Office of the Chief
Administrative Officer, United States Patent and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450 or email
[email protected].
Privacy Act Statement
The United States Patent and Trademark Office (USPTO) collects this information under authority of 5 CFR 339.205. The information in this
system of records is used to manage name, citizenship, domicile, email address, postal address, and telephone number of the trademark
applicant, registrant, and applicant’s or registrant’s legal or other authorized representative(s), an attorney’s law firm or company affiliation
and professional licensing information, and other information pertaining to an applicant’s or registrant’s activities in connection with the
applied-for or registered mark. Other records mange in this system include trademark applications, applicant and registrant declarations,
office actions, registration certificates, and correspondence generated in the course of the prosecution of a trademark application or
maintenance of a trademark registration. The information you provide is protected from disclosure to third parties in accordance with the
Privacy Act. However, routine uses of this information may include disclosure to the following: public; foreign entity, professional
organizations or associations, audit or oversight; governments, law enforcement and investigation; non-federal personnel; record
informational inquiries; data breach notification; data breach assistance; adjudication and litigation; department of justice litigation;
freedom of information act assistance from department of justice; office of personnel management; congressional inquiries; the National
Archives and Records Administration; and office of management and budget. Disclosure of the information by you is voluntary; however,
failure to provide any part of the requested information may result in our inability to enroll you in the program. The applicable Privacy Act
System of Records Notice for this information request is COMMERCE/USPTO-26, Trademarks Application and Registration Records: Federal
Register vol. 85 February 18, 2020, p 8847, available at https://www.govinfo.gov/content/pkg/FR-2020-02-18/pdf/2020-03068.pdf

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3/26/2012