<div class="container">
      <div class="row">
        <div class="col-md-12">
          <h2><span>TRADEMARK</span>QUESTIONNAIRE</h2>
        </div>
        <div class="col-md-4">
          <label>Type of Applicant *</label>
          [select menu-752 "Individual" "Partnership" "Pvt Ltd Company"]
        </div>
        <div class="col-md-4">
          <label>Applicant Name *</label>
          [text text-536]
          <p>(Pvt. Ltd./Public Ltd./LLP/Partnership Firm/ Proprietorship Firm/Trust/Individual</p>
        </div>
        <div class="col-md-4">
          <label>Address of the Applicant</label>
         [text text-536]
          <p>(Pvt. Ltd./Public Ltd./LLP/Partnership Firm/Proprietorship Firm/Trust/Individual)</p>
        </div>
        <div class="col-md-4">
          <label>Mobile Number of the Applicant *</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Email of the Applicant / Attorney *</label>
          <input type="" name="">
        </div>
        <div class="col-md-4">
          <label>Pincode *</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Age of Signatory</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Type of Organisation</label>
          [text text-536]
          <p>(Whether Pvt. Ltd./Public Ltd./LLP/ Partnership Firm/Proprietorship Firm/Trust/ Individual)</p>
        </div>
        <div class="col-md-4">
          <label>Full name of the Signatory</label>
          [text text-536]
          <p>(on behalf of company/firm/trust)</p>
        </div>
        <div class="col-md-4">
          <label>Full name of all the Partners/Directors</label>
          [text text-536]
          <p>(In case of Pvt. Ltd./Public Ltd./LLP/Partnership Firm)</p>
        </div>
        <div class="col-md-4">
          <label>Nationality of Signatory</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Father’s / Husband’s name of the signatory</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Residence address of signatory</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Wordmark</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Mark/Brand Name/logo</label>
         [file file-996 filetypes:png|jpeg|gif id:upload class:vfb-text class:vfb-mediu]
          <p>Please upload the image of logo minimum dimension logo 8*8 cm (The size of a visiting card)</p>
        </div>
        <div class="col-md-12">
          <label>Trade description of Goods/Services</label>
          <p>(mention the exact goods or services to be sold / promoted under this brand name. Eg: Construction and Installation services: construction of residential plots, malls etc Educational and Entertainment Services: coaching for bcom, CA etc, Running of School college, Running of physical fitness centre etc Textile Industry: Manufacturing and trading of cloth, suiting, shirting, fabrics etc.</p>
          [textarea textarea-389]
        </div>
        <div class="col-md-4">
          <label>State whether: Manufacturer/Trader/ Service Provider</label>
          [text text-536]
        </div>
        <div class="col-md-4">
          <label>Add Documents of usage,Choose file</label>
          [file file-996 filetypes:png|jpeg|gif class:vfb-text class:vfb-mediu]
          <p>(Upload any documents like Vat registration , Pan card, company in corporation certificate etc.. that reflects the trademark name and date of use)</p>
        </div>
        <div class="col-md-4">
          <label>User Date of the Brand/Mark</label>
          [text text-536]
          <p>(Please specify the approx date since the brand is being used, if new add proposed to be used)</p>
        </div>
        <div class="col-md-4">
          <label>trademarkexcella@gmail.com *</label>
          [text text-536]
          <p>Thanks for contacting Excella Corporate Consultants</p>
        </div>
        <div class="col-md-12">
          [submit "Submit"]
        </div>
      </div>
    </div>