The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 15 Section 22 (2) Regulation 19 (1) (b) THE REGISTERED DESIGNS ACT Fee unit: 1 APPLICATION UNDER REGULATION 19 BY ASSIGNOR, MORTGAGOR, LICENSOR, ETC., TO ENTER SUBSEQUENT PROPRIETORSHIP OR INTEREST IN DESIGN IN THE REGISTER I/We (1) .............................................................................................................................................................................. (1) Stat .................................................................................................................................................................................................... name a .................................................................................................................................................................................................... addres hereby request that you will enter the name(s) of (2) .................................................................................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... in the register as subsequent proprietor(s)/mortgagee(s)/licensee(s) of the design No .................................................................. He is/They are entitled to the said design (or to a share or interest in the said design) by (2) Her name, and na of assig etc. virtue of (3) .................................................................................................................................................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... The address for service in Zambia of the subsequent proprietor, mortgagee or licensee, (3) Inse particu the inst if any etc., is (4) .................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... Dated this ......................................................................................................day of ............................................., 19 .............. (4) Her the add service Zambia subseq proprie mortga license The Registrar, The Designs Office, Lusaka, Zambia. (5) .............................................................................................. (5) To b .................................................................................................... signed applica his/thei agents Copyright Ministry of Legal Affairs, Government of the Republic of Zambia