Regulation 64 FORM TM- 48 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010 APPLICATION FOR REGISTRATION OF REGISTERED USER (Regulation 64) To be accompanied by a statement of Case giving particular and stating as required by section 49, verified by a statutory development made by the proprietor by we person authorized to act on behalf and approved by the Registrar. APPLICATION TO HEREBY MADE by (a)………………………………… …………………………………………………………………………………. …………………………………………………………………………………. Who is ( or we) the Registered Proprietor (s) of Trade Mark (s) No(s)……. ………………………….. registered in Class …………………in respect of (b)…………………………..that (c)…………………………………………. ………………………………………………………………………………… ………………………………………………………………………………… ………………………………………………………………………………… of (d)………………………………………………………………………….. …………………………………trading as (e)……………………………….. ……………………………………………………………………………….. who hereby joins in the application, may be registered as a Registered User of the above –numbered Registered Trade Mark(s) in respect of (f)……….. ………………………………………………………………………………… subject to the following conditions or restriction: (g)………………………… ………………………………………………………………………………… (h) The proposed permitted use is to end on the……………………………… day of ……………………………………..20…….. The proposed permitted use is without limit of period. (i)……………………………………………………………………………… To: The Registrar of Trade Marks, P.O.Box 6848, Kampala. (a) Here insert full name, trade of business address and description of the registered proprietor. *Additional numbers may be given in a signed schedule on the back of the form. (b) Here insert the specification in the Register. (c) Here insert the full name, description and nationality of an individual………… Corporate proposed on the register. The names of all partners in the firm must be given in full. In the case of a body corporate brief particulars of the kind and country of incorporation should be stated. (d) Here insert the full trade of business address of the proposed registered user. (e) Here insert trading style if any. (f) Here insert designation of goods (which must be comprised within the specification) (g)Write “none” if there are no conditions or restrictions. (h) Strike put the words that are not applicable. (i) Signature 2083