reg. 34.
Form 5.
Notice of Surrender of a Patent.
The Patents Act.
I/We _______________________________________________________1
give notice that I/we have surrendered all the following claims 2___________
____________________________________________________________
____________________________________________________________
in respect of Patent No. __________.
Dated this ______ day of _______________, 20 ____
3
__________________________________________________________
My/Our address for service in Uganda is _____________________________
____________________________________________________________
_____________________________________________________________
1
State in full, name and address.
Insert the surrendered claims if not all are surrendered.
3
To be signed by the patentee(s) or his/her/their agent.
2