LAWS OF MALAWI Registered Designs Registered Designs Regulations Registered Designs Cap. 49:05 [Subsidiary] Designs Form No. 30 Section 52 Regulation 40 REGISTERED DESIGNS ACT (CAP. 49:05) Fee:10 Form of Authorization of Agent I/We (1) ………………………………………………………………………………….. ……………………………………………………………………………………………. have appointed (2) ………………………………………………………………… …………………………………………………………………………………………… of ……………………………………………………………………………….……….. to act as my/our agent for (3) …………………………………………………………….. upon …………………………………………………………………………………… by (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 authorizations, if any, in respect of the same matter or proceeding. Dated this ………………….. day of …………………………………………. 200… (1) The full names of all the partners in a firm must be inserted, and the kind and country of incorporation of bodies corporate stated. (2) Here insert name and address of agent.. (3) Here state the particular matter or proceeding for which the agent is appointed, giving the reference number, if known. (4)……………………………………… ……………………………………… (4)To be signed by person appointing the agent. (5)……………………………………… ……………………………………… ……………………………………… (5) Here insert full trade or business address of the person appointing the agent. Address:- (To be deleted if the person appointing the agent desires his own address to be treated as the address for service after registration). I/We also authorized the said (2) ………………………………………………………… to complete the entry of an address for service as part of any registration obtained under the above authorization. Dated this ………………….. day of …………………………………………. 200… (4)……………………………………… Address:(5)……………………………………… ……………………………………… The Registrar, The Designs Office P.O. Box 100 BLANTYRE 78