The Laws of Zambia REPUBLIC OF ZAMBIA Designs Form No. 12 Section 15 (2) Regulation 18 THE REGISTERED DESIGNS ACT Fee unit: 1 APPLICATION FOR EXTENSION OF COPYRIGHT IN DESIGN FOR A THIRD PERIOD OF FIVE YEARS I/We hereby apply for the extension of the period of copyright in design No. .................................................................. ....................................................................................................................................................for a third period of five years. Dated this ................................................................................................day of ........................................., 19 .............. (1) .............................................................................................. (1) Stat and ful .................................................................................................... addres .................................................................................................... which certifica be sent The Registrar, The Designs Office, Lusaka, Zambia. (This part of the form to be filled in at the Designs Office) CERTIFICATE OF EXTENSION OF COPYRIGHT IN DESIGN FOR THE THIRD PERIOD OF FIVE YEARS This is to certify that ........................................................................................................................................................ did on the ....................................................................................................day of ..............................................., 19 ............, make application and pay the prescribed fee for the extension of copyright in design No. .................................................................................................................... and that the copyright is hereby extended for a third period of five years until the ................................................................................................................................ day of ......................................................, 19 .............. Sealed at my direction, this .......................................................................................... day of ......................................, 19 ............... .................................................................................................... Registrar The Designs Office, Lusaka, Zambia. Copyright Ministry of Legal Affairs, Government of the Republic of Zambia