The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 30 Section 52 Regulation 40 THE REGISTERED DESIGNS ACT Fee unit: 1 FORM OF AUTHORISATION OF AGENT I/We (1) .............................................................................................................................................................................. .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... .................................................................................................................................................................................................... (1) The names the par a firm m inserte the kind country incorpo of bodi corpora stated have appointed (2) .................................................................................................................................................................... of ................................................................................................................................................................................................ .................................................................................................................................................................................................... (2) Her name a addres agent to act as my/our agent for (3) ...................................................................................................................................................... .................................................................................................................................................................................................... ......................................................................................................................................................No. ...................................... and request that all notices, requisitions and communications relating thereto may be sent to such agent at the above address. I/We hereby revoke all previous authorisations, if any, in respect of the same matter or proceeding. Dated this ..............................................................................................day of ............................................, 19 ............. (3) Her the par matter procee which t agent i appoint giving t referen numbe known (4) .............................................................................................. (5) .............................................................................................. .................................................................................................... (To be deleted if the person appointing the agent desires his own address to be treated as the address for service after registration.) (4) To b signed person appoint agent I/We also authorise the said (2) ...................................................................................................................................... to complete the entry of an address for service as part of any registration obtained under the above authorisation. Dated this .............................................................................................. day of ............................................., 19 ........... (4) .............................................................................................. Address: (5).............................................................................................. .................................................................................................... The Registrar, The Designs Office, Lusaka, Zambia. (5) Her full trad busines addres person appoint agent Address: Copyright Ministry of Legal Affairs, Government of the Republic of Zambia