The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 23 Section 25 (2) Regulation 27 (2) THE REGISTERED DESIGNS ACT Fee Unit: 1 APPLICATION FOR CANCELLATION OF REGISTRATION UNDER SECTION 25 (2) OF THE ACT Design No. ................................................................................ I/We .................................................................................................................................................................................. of ................................................................................................................................................................................................ hereby apply for cancellation of the registration of design No. .................................................................................................. on the ground that (1) ................................................................................................................................................................ .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... (1) Her ground which cancell reques Dated this ....................................................................................................day of ......................................., 19 ............ (2) .............................................................................................. My/Our address for service in Zambia: (2) To b signed .................................................................................................... applica his/thei .................................................................................................................................................................................... .................................................................................................................................................................................... .................................................................................................................................................................................... The Registrar, The Designs Office, Lusaka, Zambia. NOTE.-The application must be accompanied by a copy thereof and a statement of case in duplicate. Copyright Ministry of Legal Affairs, Government of the Republic of Zambia