Regulations 54 and 57 FORM TM 14 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT 2010. Joint Request to the Registrar by Registered Proprietor and Transferee to register the Transferee as subsequent Proprietor of Trade Marks upon the same devolution to title. (Regulations 54 and 57) To: Registrar Of Trade Marks, P.O. Box 6848, Kampala. (a) Name and address of registered proprietor or other Assignor or Transmitter We (a) ………………………………………………………………………… …………………………………………………………………………………. and (b) ………………………………………………………………………… ………………………………………………………………………………… hereby request, under regulation 64 that the name of (c) ……………………… ………………………………………………………………………………… carrying on business as (d) …………………………………………………… ………………………………………………………………………………… at (e) ………………………………………………………………………….. ………………………………………………………………………………… May be entered in the Register of Trade Marks as proprietor of the Trade Mark(s) No.(s) …………………* in Class ……………………………...as from the (f) …………………………….by virtue of (g) ……………………… ………………………………………………………………………………… ………………………………………………………………………………… (h) The Trade Mark at the time of the assignment was/was not used in a business in the goods in question, and the assignment took/did not take place on or after the appointed day otherwise than in connection with the goodwill of a business in the goods/and there is sent herewith a copy of the Registrar's direction to advertise the assignment, a copy of each of the advertisements complying therewith, and a statement of the dates of issue of any publications containing them. Dated this ………………..day of …………………………………..20……… (i) ……………………………………………………………………………… (j) …………………………………………………………………………….. 2049 (b) Full name, trade address and nationality of Transferee. (c) Name Transferee. of (d) Description of Transferee. (e) Trade or business address of Transferee. *Additional numbers may be given in a signed schedule on the back of the form. (f) Date of acquisition of proprietorship. (g) Full particulars of the instrument of assignment, if any, or statement of case. (h) Strike out any words not applicable (see regulation 69) (i) Signature Assignor Transmitter of of (j) Signature Transferee of