Patents Regulation

G.N. No 40 (Contd.) For Official Use Only

Patent Act, 1987
FOR OFFICIAL USE
Received On:

Form No. 30
(Regulations 50 And 52

To: The Registrar Of Patents

Ministry Of Industries And Trade
The Patent Office
P.O. Box 9393
Dar Es Salaam
Tanzania.
_____________________________________________________________________________________
REQUEST FOR ENTRY IN THE REGISTER TO THE Applicant’s Or Agent’s File Reference
EFFECT THAT LICENSES ARE AVAILABLE AS OF
RIGHT
____________________________________________________________________________________

I/We…………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………

Request the Registrar In Respect of ……………………………………………………….

Patent No…………………………………………………………………………....

Utility Certificate No.…………………………………………………………………

Title of Invention……………………………………………………………………………………..

Date of Grant………………………………………………………………………………………………..

for an entry to be made in the register to the effect that licenses under the patent/utility certificate are to
be available as of right and will be granted in accordance with section.60.

I/We declare that I am/ we are not precluded from granting licenses

Signature(S)………………… Dated………………………………………

______________________
Type Name(S) Under Signature

Notes:
1. the owner of the patent/utility certificate, should complete the form entering his name and address in
the space provided.

2. No fee is required to accompany this form.