Regulation 84 FORM TM-30 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. Request for General Certificate of a Registrar (including Certificate of Registration of a Trade Mark) (Regulation 84) To: Registrar of Trade Marks, P.O. Box 6848, Kampala. IN THE MATTER OF * the Trade Mark(s) No….…………………………… registered in …………………………………………………………………… …………………………………….in Class ………………………………* I (or We) …………………………………of…………………………………. * These words may be varied to suit other cases hereby request the Registrar to furnish me (us) with (b) his certificate that (a) …………………………………………………………………………….. ………………………………………………………………………………… (a) Here set out the particulars which the Registrar is required to certify. ………………………………………………………………………………… (b) a Certificate of Registration of the Trade Mark (b) for use in obtaining registration abroad. (b) Strike out words that are not applicable. Dated this …………………..day of………………………………., 20……… (c) Signature (c) …………………………………………………………………………… (d) …………………………………………………………………………… ______________________________________________________________ Extract from regulation 96: “Where a Certificate of Registration of a Trade Mark is desired for use in obtaining registration abroad, the Registrar … shall include in the certificate a copy of the mark and may require the applicant for the certificate to furnish him with a copy of the mark suitable for the purpose and, if the applicant fails to do so, may refuse to issue the certificate. The Registrar …may state in the certificate such particulars concerning the registration of the mark as to him may seem fit, and may omit there form reference to any disclaimers appearing in the register, but in the last-mentioned case the certificate shall be marked: “For use in obtaining registration abroad only”. 2063 (d) Address