Regulation 74 (2) FORM TM 21 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. Application by Registered Proprietor of Trade Mark for the cancellation of Entry thereof in Register (Regulation 74(2)) To: Registrar of Trade Marks, P.O. Box 6848, Kampala. IN THE MATTER OF Trade Mark No………………………………………. Class…………………………………………………………………………… Name of Registered Proprietor ……………………………………………….. …………………………………………………………………………………. Trade or business address …………………………………………………….. Description ……………………………………………………………………. Application is hereby made by ……………………………………………….. of (a) ……………………………………………………………………… (or by ……………………. a member of the firm of …………………………….. ……………………………………….of (a) ………………………………… on behalf of my said firm) …………………………………………………… ……………………………………………………………………………….. that the entry in the Register of Trade Marks of the Trade Mark No. ………… ………………………… in class ……………………… may be cancelled. Dated this ………………………day of …………………….. 20………… (a) ………………..…………………………………………………… (b) Signature. 2056 a) Here insert the trade or business address and descri­ ption of the applicant(s) or his (their) firm.