LAWS OF MALAWI Registered Designs Registered Designs Regulations Registered Designs Cap. 49:05 [Subsidiary] Designs Form No. 17 Section 6 or 22 Regulation 21(2) REGISTERED DESIGNS ACT (CAP. 49:05) Fee: K8 Application by Morgagee or Licensee under Regulation 21(2) for Entry in Register of Note that he no longer claims such Interest Design No: …………………………… Name of registered proprietor …………………………………………... ……………………………………………………………………………………………. ……………………………………………………………………………………………. Place of business ……………………….…………………………………………… …………………………………………………………………..………………………. I/We, the undersigned, …………………………………………………………………. Of …………………………………………………………………………………. apply for entry in the register that I/we no longer claim to be mortgage(s) or licensee(s) in respect of design No. ………………………….. Dated this ………………….. day of …………………………………………. 200… (1)……………………………………… ……………………………………… ……………………………………… ……………………………………… The Registrar, The Designs Office P.O. Box 100 BLANTYRE 65 To be signed by the applicant(s) or his/their agent.