LAWS OF MALAWI Registered Designs Registered Designs Regulations Registered Designs Designs Form No. 14 Cap. 49:05 [Subsidiary] Section 22(1) Regulation 19(1)(a) REGISTERED DESIGNS ACT (CAP. 49:05) Fee: K6 Application under Regulation 19 by Assignee, Mortgagee or Licensee to enter subsequent Proprietorship or Interest in Design in the Register I/We (1) …………………………………………………………………………………... ……………………………………………………………………………………………. (1) State full name and address Hereby request that you will enter my/our name(s) in the register as proprietor(s)/mortgage(s)/licensee(s) of the design No. ………………………………… I am/We are entitled to the said design )or to a share or an interest in the said design) in pursuance of (2). ………………………………………………………………………… ……………………………………………………………………………………………. (2) Insert full particulars of the instrument, if any Dated this ………………….. day of …………………………………………. 200… (3)……………………………………… ……………………………………… My/Our address for service in Malawi:……………………………………… ……………………………………… The Registrar, The Designs Office P.O. Box 100 BLANTYRE 62 (3) To be signed by the applicant(s) or his/their agent.