Regulation 66 FORM TM- 49 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT 2010 Application by the Registered Proprietor of a Trade mark for variation of the registration of a Registered User thereof with regard to the goods or conditions or restrictions. ( Regulation 66) (To be accompanied by a statement of the Grounds for the application and the written content (if given) of the Registered User) APPLICATION TO HEREBY MADE by (a)…………………………………………………………………………….. ……………………………………………………………………………….. the Proprietor (s) of Trade Mark (s) No(s)…………………………………… *registered in Class …………in respect of (b) …………………………….. ………………………………………………………………………………… that the registration of (c)…………………………………………………… …………………………………………………………………………………. (a)Here insert full name, description and trade of business address 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. ……………………………………………………………………………….. as a Registered User of the above – numbered trade mark(s) in respect of (d) ……………………………………………………………………………….. ……………………………………………………………………………….... may be varied in the following manner: (e) ……………………………..… …………………………………………………………………………………. Dated the ……………….day of………………………………..20………… (f) To: …………………………………………………………………………… The Registrar of Trade Marks, P.O.Box 6848, Kampala. (c) Here insert full name, description and trade or business address of the registered User. (d) Here insert the goods in respect of which the user is registered. (e) Here state in terms the manner in which it requested that the entry should be varied. (f) Signature 2084