Regulations 70(1) and 74(2) FORM TM 19 FEE: THE REPUBLIC OF UGANDA THE TRADE MARKS ACT, 2010. REQUEST FOR CORRECTION OF CLERICAL ERROR; OR FOR PERMISSION TO AMEND APPLICATION (Regulations 70(1) and 74(2)) To: Registrar of Trade Marks, P.O. Box 6848, Kampala. IN THE MATTER OF ………………….……………………………………. I (We), being the………………………. hereby request that.………………. ……………………………………………………………………………….. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. …………………………………………………………………………………. Dated this…………………day of…………………………………….20…… (b) …………………………………………………………………………….. 2054 (b) Signature

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