LAWS OF MALAWI Registered Designs Registered Designs Regulations Registered Designs Designs Form No. 15 Cap. 49:05 [Subsidiary] Section 22(2) Regulation 19(1)(b) REGISTERED DESIGNS ACT (CAP. 49:05) Fee: K6 Application under Regulation 19 by Assignor, Mortgagor or Licensor etc., to enter subsequent Proprietorship or Interest in Design in the Register I/We (1) ………………………………………………………………………………... ……………………………………………………………………………………………. hereby request that you will enter my/our name(s) of (2) …………………………………………………………………………………………… ………………………………………………………………………………………….. in the register as subsequent proprietor(s)/mortgagee(s)/licensee(s) of the design No. ………………………………… He/They are entitled to the said design )or to a share or an interest in the said design) by virtue of (3). ………………………………………………………………………… ……………………………………………………………………………………………. The address for service in Malawi of the subsequent proprietor, mortgage or licensee, etc., is (4) ………………………………………………………………………………… ……………………………………………………………………………………………. (1) State full name and address (2) Here insert name, address and nationality of assignee, etc. (3) Insert full particulars of the instrument, if any (4) Here insert the address for service in Malawi of the subsequent proprietor, mortgage, licensee, etc. Dated this ………………….. day of …………………………………………. 200… (5)……………………………………… ……………………………………… The Registrar, The Designs Office P.O. Box 100 BLANTYRE (5) To be signed by the applicant(s) or his/their agent. L.R.O. 1/1968 63