Regulations 70(1),71, &74(2) Form TM 17 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. REQUEST FOR ALTERATION OF TRADE OR BUSINESS ADDRESS IN REGISTER OF TRADE MARKS (Regulations 70(1), 71, 74(2)) To: Registrar of Trade Marks, P.O. Box 6848, Kampala. IN THE MATTER OF the Trade Mark(s) No……………………………….* registered in Class ….………………..……………………………………….. I (We) …………………………………………………………………….. of Additional numbers may be given in a signed schedule on the back of the Form. ……………………………………………………………………………….. the Registered Proprietor(s)……………… of the Trade Mark(s) numbered as above, request that my (our) trade address in the Register of Trade Marks be altered to …………………………………………………………….………………….. (a) Strike out one of these words. Dated this………………………………day of …………………..20……… (b) …………………………………………………………………………… (b) Signature Applicant Note: A registered Proprietor or Registered User whose address has been altered by a public authority, so that the changed address designates the same premises as before, may make also the statement below in order to avoid payment of the fee. (For use only in case of an address changed by a public authority, without the change of premises:-) The change of address, for the entry of which application is made above, was ordered by (a) ………………………………………………………………… on the ………………………….. day of…………………………….20…… (b) …………………………………………………………………………… *Note: If the above statement be made, and a certificate of the alteration given by the named authority be supplied, the Registrar,* if satisfied as to the facts of the case, will not require Form TM-No.17 to be fee paid. (See regulation 71). 2052 (a) Here insert the name of the public authority ordering the change and the date thereof. (b) Signature of the Registered Proprietor or User, as the case may be.

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