[별지 제26호서식] 국제등록존속기간갱신신청서
MM11(E) MADRID AGREEMENT AND PROTOCOL CONCERNING THE INTERNATIONAL REGISTRATION OF MARKS RENEWAL OF THE INTERNATIONAL REGISTRATION (Rule 30 of the Common Regulations)
	IMPORTANT 1. The use of this form is not compulsory. It is made avaliable for the convenience of holders of international registrations. 2. The international registration may be not be renewed in relation to any designated Contracting Party in respect of which a total invalidation or renunciation has been recorded. However, in the case of partial invalidation, the international registration may be renewed in respect of any designated Contracting Party for those goods and services for which an invalidation has not been recorded.
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

RENEWAL OF THE INTERNATIONAL REGISTRATION
For use by the holder This renewal contains the following number of continuation sheet :			For use by the holder/Office Holder’s reference :....................... Office’s reference :............................
INTERNATIONAL REGISTRATION NUMBER : ...........................................................................................................................
NAME OF THE HOLDER (as recorded in International Register) ..............................................................................................................................
CONTRACTING PARTIES FOR WHICH RENEWAL IS SOUGHT Indicate below the degignated Contracting Parties for which the international registration indicated in item 1 is to be renewed(including, where applicable, those Contracting Parties in respect of which a total refusal is recorded in the International Register)
□AG Antigua and	□GB Unted Kingdom			Macedonia
Barbuda	□GE Georgia			□MN Mogolia
□AL Albania	□GR Greece			□MZ Mozambique
□AM Armenia	□HR Croatia			□NO Norway
□AT Austia	□HU Hungary			□PL Poland
□AU Ausralia	□IE Ireland¹			□PT Portugal
□AZ Azerbaijan	□IS Iceland			□RO Romania
□BA Bosnia and	□IT Italy			□RU Russian Federation
Herzegovina	□JP Japan			□SD Sudan
□BG Bulgaria	□KE Kenya			□SE Sweden
□BT Bhutan	□KG Kyrgyzstan			□SG Sigapore
□BX Benlux	□KP Democratic Peo-			□SI Slovenia
□BY Belarus	ple’s Republic of			□SK Slovakia
□CH Switzerland	Korea			□SL Sierra Leone
□CN China	□KR Republic of Korea			□SM San-Marino
□CU Cuba	□KZ Kazakhstna			□SZ Swaziland
□CY Cyprus	□LI Liechtenstein			□TJ Tajikistan
□CZ Cxech Republic	□LR Liberia			□TM Turkmenistan
□DE Germany	□LS Lesotho			□TR Turkey
□DK Denmark	□LT Lithuania			□UA Ukraine
□DZ Algeria	□LV Latvia			□US United States of
□EE Estonia	□MA Morocco			America

□EG Egypt		□MC Monaco	□UZ Uzbekistan
□ES Spain		□MD Rep. of Moldova	□VN Viet Nam
□FI Finland		□MK The former Yu-	□YU Yugoslavia
□FR France		goslav Rep. Of	□ZM Zambia
others : ........................................ ........................................ ........................................
SIGNATURE Name :............................................................................................................... Signature :.........................................................................................................
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 ; METHOD OF PAYMENT
Basic fee(653 Swiss francs) ................. Where applicable, surcharge for the grace period(326.50 Swiss francs) ................... Complementary and supplementary fees Number of designa- tions for which com- plementary fee is ap- Total amount of the plicable Complementary fee complementary fees ..............................×73 Swiss francs =.......................⇒............................. Number of classes of goods and services Total amount of the beyond three Supplementary fee supplementary fees ..............................×73 Swiss francs =.......................⇒............................. Individual fees(Swiss francs) :
	Designated Con- Individual fee Designated Con- Individual fee tracting Parties tracting Parties ............................ ....................... ............................ ......................... ............................ ....................... ............................ ......................... ............................ ....................... ............................ ......................... ............................ ....................... ............................ .........................
Total individual fees ⇒.................................

Grand total            .................................

(Swiss francs)

Party effecting the payment(name and address) : ...........................................

Payment received and ac-   WIPO receipt number

knowledged by WIPO        □..........................................

Payment made by banker’s  Check identification        dd/mm/yyyy

cheque(attached)            □...................................       ............................

Payment made by banker’s  Check identification        dd/mm/yyyy

cheque(sent separately      □...................................       ............................

Payment made to WIOP     Payment identification     dd/mm/yyyy

bank account No CH35      □...................................       ............................

0425 7080 8100 0 Gredit

Suisse, CH-1211 Geneva 70

Swift : CRESCH ZZ12A

Payment made to WIPO

postal cheque account No     Payment identification     dd/mm/yyyy

12-5000-8, Geneva        □...................................       ............................

CONTINUATION SHEET

No : ...................of..............