Regulation 42 (1)
FORM TM 5
THE REPUBLIC OF UGANDA
FEE:
THE TRADE MARKS ACT, 2010
Application for Registration of Certification Trade Mark
( Regulation 42(1 )
(To be filled in triplicate)
To:
One representation
to be fixed within
this space and six
others to be sent on
separate Forms TM
No.3.
The Registrar Of Trade Marks,
P. O Box 6848,
Kampala.
Representation of a
larger size may be
folded, but must then
be mounted upon
linen
or
other
suitable material and
affixed hereto.
(a) Here specify the
goods. Only goods
included in one and
the
same
class
should be specified.
A
separate
application Form is
required for each
class.
Application is hereby made for Registration in Part A of the Register of the
accompanying Certification Trade Mark in Class …………………………….
in respect of (a) ………………………………………………………………
in the name of (b) ………………………………………………………………
whose address is (c) ………………………………………………………….
…………………………………………………………………………………
Dated this ………………………… day of …..……………………… 20……
(b) Here insert the
full
name,
description
and
nationality of the
applicant. If the
applicant is a body
corporate, the kind
and country of
incorporation should
be stated.
(c) Here insert the
full address of the
applicant.
(d) Signature.
(d)……………………………………………………………………………….
2040