Regulation 62(1) FORM TM-40 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. Application for the approval by the Registrar of a proposed Assignment, or of a Transmission (on or after the appointed day) of a Trade Mark, resulting in exclusive rights in different person for different parts of Uganda. (Regulation 62(1)) (To be accompanied by a Statement of Case in duplicate and a copy of the Instrument proposed for the Assignment or effecting the Transmission) IN THE MATTER OF Trade Mark(s) No(s) …………………………………. *Registered under No(s)………………..……………………………………… in Class (es) ………………………………………………………………….. the property of……………………………………………………………….. *To be struck out in the case of un­ registered Trade Marks. Strike out either Paragraph (1) or paragraph (2) Application is hereby made by :­ (a)……………………………………………………………………………… of ……………………………………………………………………………... the proprietor of the Trade Mark(s) shown in the accompany Statement (a)Insert here the name and address of the proprietor. Case (b) (used by him) in respect of the following goods …………………....... (b)Strike out either if not applicable. for the approval by the registrar of a Proposed Assignment of the Trade Mark(s) to (c)………………………………………………………………… …….…………………… of …….…………………………………………… in respect of the following goods………………………………………………. to be sold or otherwise traded in (d)…………………………………………… ……………………………. (and to (c)……………………………………… …………………………………………………………………………………. of…………………………………………………………………………… in respect of the following goods……………………………………………… ………………………………………………..+ to be sold or otherwise traded in (d) …………………. …………………………...) in circumstance that are stated fully in the accompanying Statement of Case . (e)…………………………………………………………………………. 2074 (c)Insert here the names and trade or business of the proposed assignee or assignees. (d)Insert the name of the place in Uganda. Strike out the bracketed passage if not required. (e)Here insert the name and trade or business address of the

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