Regulation 68 FORM TM-51 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010 Application for cancellation of Entry of a Registered User of a Trade mark (Regulation 68) (To accompanied by a statement of the Grounds for the application) IN THE MATTER OF Trade Mark(s) No.(s)………………………………… registered in Class………………………in the name of (a)…………………. ………………………………………………………………………………… Application is hereby made by (b)……………………………………………. ………………………………………………………………………………… whose address for service in Uganda in these proceedings is………………… ………………………………………………………………………………… for the cancellation of the entry under the above-mentioned registration of (c)……… ……………………………………………………………………. as the registered user thereof in respect of (d) ……………………………… ………………………………………………………………………………… …………………………………………………………………………………. The grounds of this application, particular of which given in detail in the accompanying statement of case are (e)……………………………………. ………………………………………………………………………………… ………………………………………………………………………………… Dated this ………………day of …………………………….20…….. (f)……………………………………………………………………………… To: The Registrar of Trade Marks, P.O.Box 6848, Kampala. 2086 *Additional numbers may be given in a signed schedule on the back of the form. (a) Here insert full name, description and trade or business address of the registered proprietor as entered in the register. (b) Here insert the name and address of the applicant for cancellation. (c) Here insert full name, description and trade or business address of the registered User as entered in the register. (d) Here insert goods in respect of which that registered user is entered. (e) Here insert one or more of the subparagraphs of paragraph (c) of section 31 (8) numbered (i), (ii), (iii). (f) Signature