Regulation 41(1) FORM TM-.31 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. Application for registration of an Invented Word (or Words) in Part * of the Register as a Defensive Trade Mark (Regulation 41(1)) ______________________________ One representative to be fixed within this space, and *four others to be sent on separate forms TM-No.3 ______________________________ To: Registrar of Trade Marks, P.O. Box 6848, Kampala. APPLICATION IS HEREBY MADE for registration in Part *……………..of the Register of the above word(s) as a Defensive Trade Mark in Class ……………... in respect of (a) ………………………………………………. ………………………………………………………………………………… ………………………………………………………………………………… in the name of (b) ……………………………………………………………. …………………………………………………………………………………. of (c) ………………………………………………………………………… …………………………………………………………………………………. trading as (d) ………………………………………………………………….. who is (are) the proprietor(s) of the same Trade Mark registered in Class (e) ……………………………………………………………………………. ………………………………………………………………………………… in respect of …………………………….under No…………………………… According to my (our) information and belief the word(s) is (are) invented. The particulars of the facts on which I (we) rely in support of this application are set forth in the accompanying Statement of Case (f). Dated this …………………day of ……………………………….., 20………. (g) …………………………………………………………………………… *Write distinctly here “A” or “B” according to the registration desired. (a) Here specify the goods. Only goods included in one and the same class should be specified. (b) Here insert legibly the full name, description and nationality of the individual, firm or body corporate making the application. The names of all partners must be given in full. If the applicant is a body corporate, the kind and country of origin should be stated. (c) Here insert the full trade or business address of the applicant. (d) Here insert the trading style (if any). (e) Here insert particulars of the applicant’s registration of the Trade Mark. (f) To be furnished in duplicate. (g) Signature. 2064