Trademark Registration Client Intake Form

This is a form to formally authorize our undertaking for purposes of registering a Trademark in Uganda.

Client Information

Let's get to know a little more about you

Client Name (Full name of Individual or Company)

Field is required!

Invalid phonenumber!

Client Nationality

Seat of Corporate governance in case of a corporate entity

Substantive Application Information

A little more about the Trademark you wish to have registered.

This is the name of the trademark to be registered.

Please provide a Trademark Name

Please provide a brief description of the trademark to be registered

Field is required!

Class of Goods or Services

Class(es) of goods or services for which the trademark will be used (according to the International Classification of Goods and Services):

Please specify the class of goods or services

*Please be advised that depending on the class of goods or services we may need to ask that you are agreeable to disclaimers in cases of similarities in different aspects, except as expressly represented.

Goods or Services List

Specific list of goods or services for which the trademark will be used.

Specify a list of goods or services for which the trademark will be used.

Upload Image/ Logo

Please upload the trademark logo or image If not provided yet, otherwise, please provide reference number to enable us locate the image)

Upload your image/ logo

Please upload the trademark logo or image If not provided yet, otherwise, please provide reference number to enable us locate the image)

Application Details

Let's talk about the nature of this application.

Type of Application

Please let us know if this is a renewal, assignment or new application.

Please advise as to the type of application

Priority Date of Application (Where Applicable)

Field is required!

Agent Authorization

Here's where we make it official that you authorize us to work on your behalf and pursue your best interests.

Your Authorization

You have been provided with an additional form from the registry as a general formality that certifies to the registry that we have been authorized to act on your behalf in this matter, through a member of our team. Please confirm below whether this is the true intent at this point, or otherwise. Please click the relevant option.

I have been provided with an authorization form and I authorize AdvocatesConnect, Uganda through the named agent({agent}), to act on my behalf in this matter. Additionally, I have provided/ will provide a separate power of attorney to this effect.

I decline to provide such authorization.

Please indicate whether you wish to authorize this registration.

Registered Agent Selection

I elect to choose the following registered agent to act on this matter:

Power of Attorney

Pursuant to Ugandan Law, any foreign trademark applications must be accompanied by the requisite power of attorney originating from the applicant's country of origin, appointing an agent. Please ensure that this is attached, pursuant to submitting this form.

I {first_name} {last_name} hereby provide the attestation in support of the power of attorney attached hereto, of my own volition.

Power of Attorney

Upload Power of Attorney

Please attach a power of attorney before submitting form

This form needs to be signed before submission

Submit

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