reg. 32.
Form 3.

Application for the Extension of a Patent.

The Patents Act.
I/We ___________________________________________________1 being
the owner(s) of Patent No. __________ apply for an extension of the patent
for a further period of five years.
The facts relied upon in support of this application are2 ________________
____________________________________________________________
____________________________________________________________
Dated this ______ day of _______________, 20 ____
3

___________________________________________________________

My/Our address for service in Uganda is _____________________________
_____________________________________________________________

1

State in full name and address of applicant(s).
State in full facts relied on which must be verified by evidence. If this space is not

sufficient, the particulars may be continued on a separate sheet.

3
To be signed by the patentee(s) or his/her/their agent.

2

Select target paragraph3