The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 2 Sections 9 and 13 Regulations 3 and 11 THE REGISTERED DESIGNS ACT Fee: 1 (a) or (c) APPLICATION UNDER SECTION 13 OF THE ACT FOR REGISTRATION OF DESIGN (CONVENTION) Application is hereby made for the registration of the accompanying design in the name of (1) ............................................................................................................................................................................................ .................................................................................................................................................................................................... of ................................................................................................................................................................................................ .................................................................................................................................................................................................... being a national/nationals of ...................................................................................................................................................... (1) Stat name a addres applica who claim(s) to be the proprietor(s) thereof (2) .......................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... (2) If th applica the per whom m the app in the conven country words " virtue o followe particu the inst under w he claim should inserte The design is to be applied to a (3) .................................................................................................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... (4) The design has been previously registered for one or more other articles under No ............................................................................................................ (3) Her the arti which t design applied shown represe (5) The design consists of the design previously registered under No. ............................................................................ with modifications or variations not sufficient to alter the character or substantially to affect the identity thereof. Application for protection of the design has been made in the following country (4) and Delete both paragra inapplic Copyright Ministry of Legal Affairs, Government of the Republic of Zambia