Regulation 79(1) FORM TM-34 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. REQUEST FOR THE CONSENT OF THE REGISTRAR TO ALTER THE DEPOSITED REGULATIONS FOR USE OF A CERTIFICATION MARK (Regulation 79(1)) Application is hereby made by (a) …………………………………………… …………………………………………………………………………………. …………………………………………………………………………………. who is (or are) the Proprietor(s) of the Certification mark(s) No. (b)……………………………………………………………………………. Registered in Class …………… in respect of (c) ……………………………. ………………………………………………………………………………… That the deposited Regulations for governing the use of the Mark may be altered in the manner shown in red in the accompanying copies (d) of the regulation as proposed to be altered, and for the consent of the Registrar to such alteration. (a) Here insert name and address of the proprietor(s) as registered (b) If the same Regulation apply to more than one registration, the number of the registration should be stated. (c) Here state the specification of the respective registration. (d) Three copies should be furnished. Dated this …………………..day of ……………………………..20 ……… (e)……………………………………………………………………………. To: Registrar of Trade Marks, P.O. Box 6848, Kampala. ______________________________________________________________ *Additional number and specification may be given in a signed schedule on the back of the form. 2068 (e) Signature