To the Registrar of Trade Marks
[Appropriate office of the Trade Marks Registry]
Re: Consent under Section 11(4) of the Trade Marks Act, 1999
Application [number], Class [class], mark [applicant's mark], filed by [applicant's legal name]
Cited earlier mark(s): [number(s), mark(s) and class(es)] standing in the name of [consenting proprietor]

1. [Consenting proprietor's legal name], [constitution, e.g. company/LLP/partnership firm/sole proprietor], of [address] (the "consenting proprietor"), is the proprietor of the earlier mark(s) listed above, as shown in the official record checked on [date]. [OPTIONAL—omit unless relevant:] It acquired the mark(s) from [predecessor] by [assignment dated (date)], recorded on [date / request filed on (date)].

2. The consenting proprietor has examined the representation of the applicant's mark and the specification of Application [number], copies of which are attached as Schedule A.

3. The consenting proprietor consents to the registration of [exact mark] under Application [number] in Class [class] for [the goods/services in Schedule A / the goods/services as restricted to (exact wording)].

4. [OPTIONAL—omit unless agreed:] This consent is given on the following conditions or limitations, which the consenting proprietor asks the Registrar to consider imposing: [e.g. specification restriction, presentation with house mark, territory].

5. This consent is limited to the application and specification identified above. It is not an assignment or licence of the earlier mark(s), does not authorise use of any other mark, and does not extend to any later application or any amendment widening the specification.

6. [OPTIONAL—omit unless agreed:] This consent is given in connection with an arrangement dated [date] between the parties. Under it, the consenting proprietor will not oppose this application, or seek rectification of a resulting registration, on the basis of the earlier mark(s) listed above, except [stated exceptions].

7. [OPTIONAL—only after review:] This consent [is irrevocable as regards this application / may be withdrawn only if (stated event)].

8. [Name of signatory], [designation], is authorised to give this consent for the consenting proprietor by [board resolution/partnership authority/power of attorney dated (date)], a copy of which is attached.

Signed for and on behalf of [consenting proprietor's legal name]
[Signature]
[Name of signatory in capital letters or in Hindi], [designation]
[Place and date]
[Seal, if used]

Attachments: Schedule A (applicant's mark and specification); authority document; [official record of the cited mark(s)]
[OPTIONAL:] Acknowledged by the applicant: [name, designation, signature and date]