LAWS OF MALAWI Registered Designs Registered Designs Regulations Registered Designs Cap. 49:05 [Subsidiary] Designs Form No. 23 Section 25 Regulation 27 (2) REGISTERED DESIGNS ACT (CAP. 49:05) Fee: K8 Application for Cancellation of Registration under section 25(2) of the Act Design No: …………………………… I/We, ………………………………………..…………………………………………... …………………………………………………………………..………………………. Of …………………………………………………………………..………………………. …………………………………………………………………..………………………. hereby apply for cancellation of the registration of design No. …………………………………………………………………..………………………. on the ground that (1) ………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. Dated this ………………….. day of …………………………………………. 200… (2)……………………………………… ……………………………………… ……………………………………… ……………………………………… My/Our address for service in Malawi:……………………………………… ……………………………………… ……………………………………… The Registrar, The Designs Office P.O. Box 100 BLANTYRE NOTE: The application must be accompanied by a copy thereof and a statement of case in duplicate. 71 (1) Here state ground(s) on which cancellation is requested. (1) To be signed by the applicant(s) or his/their agent

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