The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 3 Section 9 Regulation 3 THE REGISTERED DESIGNS ACT Fee: 1 (b) APPLICATION FOR REGISTRATION OF DESIGN TO BE APPLIED TO A SET OF ARTICLES (NON-CONVENTION) Application is hereby made for registration of the accompanying design for a set of articles in the name of (1) .......................................................................................................................................................... .................................................................................................................................................................................................... of ................................................................................................................................................................................................ (1) Stat names addres applica .................................................................................................................................................................................................... who claim(s) to be the proprietor(s) thereof. The design is to be applied to (2) ...................................................................................................................................... (2) Her the set articles .................................................................................................................................................................................................... also the descrip .................................................................................................................................................................................................... each of .................................................................................................................................................................................................... articles compri .................................................................................................................................................................................................... the set .................................................................................................................................................................................................... which t design applied shown represe .................................................................................................................................................................................................... (3) The design has been previously registered for one or more other articles under No. .............................................. (4) The design consists of the design previously registered under No. ............................................................................ with modifications of variations not sufficient to alter the character or substantially to affect the identity thereof. Dated this ..............................................................................................day of .........................................., 19 ............... Copyright Ministry of Legal Affairs, Government of the Republic of Zambia (3) and Delete both paragra inapplic

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