Form 6.
Application for Registration of Assignment.
(Under section 33(2) of the Patents Act.)
I/We _______________________________________________________ 1
request that you enter my/our name(s) in the register of patents as owner(s)
of Patent (Application) No.2 ____________ at present in the name(s) of 3
____________________________________________________________
________________________________________________________ and in
proof of which I/we transmit the accompanying4 _____________________
_____________________________________________________________
5
___________________________________________________________.
Dated this ______day of _______________, 20 ____
6
___________________________________________________________
My/our address for service in Uganda is _____________________________
____________________________________________________________
____________________________________________________________.
1
State name and address.
Delete the words in brackets if a patent has been granted.
3
Here give names of registered owner.
4
Here specify the particulars of each document giving its/their date(s) and the parties to
it/them and how the claim is substantiated.
5
Here insert the nature and number of documents.
6
To be signed by applicant(s) or his/her/their agent.
2