It is assigned that advertisement shall be directed as follows, namely in ………………………………………………………………………………… …… …………………………………………………………………………… 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. 2077 (d)Signature

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