The date of assignment was the …………day of��…………………20…..
Additional marks and numbers may be given in a signed schedule on the
back of the form.
Dated the …………………………………day of…………………..20…….
(d) …………………………………………………………………………….
To:
The Registrar of Trade Marks,
P.O Box 6848,
Kampala.
2079
(d)Signature
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