SECOND SCHEDULE Regulations 4, 10(2) FORMS FORM TM 1 THE REPUBLIC OF UGANDA For stamp duty see item 44 of the Schedule to the Stamps Act THE TRADE MARKS ACT, 2010 FORM OF AUTHORISATION OF AGENT IN A MATTER UNDER THE ACT (Regulation 10(2).) To: The Registrar of Trademarks Kampala. *I (we) ………………………………………………………………………... have appointed (a)…………of ……………………………………………… to act as my (our) agent for the puposes of (b) ………………………………… and request that all notices, requisitions and communications relating thereto may be sent to such agent at the above address. I (we) hereby revoke all previous authorisations, if any, in request of the same matter or proceeding. I (we) hereby declare that I am (or we) a (c)………………………………… Dated this ……………….day of…………………………….20……….. (d) …………………………………………………………………………… Address (e) ………………………………………………………………….. ______________________________________________________________ (To be struck out of the person appointing the Agent desires his own address to be treated as the address for service after registration) I (or we) also authorize the said (a) …………………………… ……………………………to complete Form TM-No.32 requesting the entry of an address for service as part of any registration obtained under the above authorization. Dated this ………………day of ……………………………….20…….. (d)……………………………………………………………………………. Address (e) ……………………………………………………………….. 2036 *The full name of all partners in a farm must be inserted, and the kind and country of incorporation of bodies corporate stated. (a) Here state name and address of agent. (b) Here state the particular matter or proceeding for which the agent is appointed giving the reference number of business. (c) Here nationality state (d) To be signed by the person appointing the agent. (e) Here insert the full trade or business address of the person appointing the agent.