hereby give notice of appeal to the Tribunal from (4) of the Registrar of Designs, dated the day of , 19 ............... whereby he (5) Dated this day of .........................................., 19 ............. (6) My/Our address for service in Zambia: The Registrar of the Patents Tribunal, Lusaka, Zambia. (4) Here insert "the decision" or "that part of the decision", as the case may be (5) Here insert "refused application for registration of a design" or "refused (or granted) application for compulsory licence" or otherwise, as the case may be (6) To be signed by the appellant(s) or his/their practitioner