Regulation 73(1) FORM TM-25 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. Application to the Registrar for the Rectification of the Register or the Removal of a Trade Mark from the Register. (Regulation, 73(1)) (To be accompanied by a copy and a Statement of Case in duplicate) To: Registrar of Trade Marks, P.O. Box 6848, Kampala. IN THE MATTER OF the Trade Mark No. …………………………………… registered in the name of ……………………………………………………… in Class ……………………………………………………………………… I (We) (a) …………………………………………………………………… (a) Here state full name and address. …………………………………………………………………………………. hereby apply that the entry in the Register in respect of the above mentioned Trade Mark may be removed (b) rectified in the following manner ………… ……………………………………………………………………………….. (b) Strike out the word (or words) that is (are) not applicable. ……………………………………………………………………………….. The grounds of my (our) application are as follows:- ………………………… …………………………………………………………………………………. …………………………………………………………………………………. No action concerning the Trade Mark in question is pending in the Court. Address for Service in the Uganda Protection in these proceedings: …………………………………………………………………………………. …………………………………………………………………………………. Dated this …………………day of ……………………………….., 20……… ………………………………………………………… Applicant. 2060 (c) Signature.