reg. 33.
Form 4.
Application for the Restoration of a Lapsed Patent or an Application
Which is Deemed to Have Been Withdrawn.
The Patents Act.
I/We _______________________________________________________1
being the owner(s) of Patent/Patent Application No. ___________________2
apply for an order for the restoration of that patent/patent application 2.
The circumstances which have led to the failure to pay the annual
maintenance fee on or before the3 _________________________________
are ___________________________________________________________
_____________________________________________________________4
Dated this ______ day of _______________, 20 ____
5
___________________________________________________________
My/Our address for service in Uganda is _____________________________
____________________________________________________________
______________________________________________________________
1
State in full name and address of applicant(s).
Delete whichever is inapplicable.
3
State last day when fee was due.
4
State circumstances. The application must be accompanied by one or more affidavits
setting out fully all the material facts on which the applicant(s) bases his/her/their case.
5
To be signed by the patentee(s) or his/her/their agent.
2