Form D.T. No. 5 Section 24 Rule 12 THE REGISTERED DESIGNS ACT Fee units: 4 APPLICATION FOR RECTIFICATION OF REGISTER OF DESIGNS (1) State name and address of applicant(s) I/We (1) hereby apply in respect of Design No. that the register may be rectified in the following manner (2) The grounds upon which I/we base this application are as follows: (3) State briefly the grounds (3) Dated this (2) State manner in which register is to be rectified day of .........................................., 19 ............. (4) My/Our address for service in Zambia: The Registrar, The Designs Office, Lusaka, Zambia. (As amended by Act No. 13 of 1994) (4) To be signed by the applicant(s) or his/their legal practitioner