state, namely
and that to the best of my/our knowledge and belief there is no lawful ground of objection
to the registration of the design and that I/we request that the design may be registered as
of the date (7)
Dated this
day of .........................................., 19 ...............
(10)
My/Our address for service in Zambia:
The Registrar,
The Designs Office,
Lusaka,
Zambia.
NOTE.-Four identical representations or specimens of the design should accompany this
form, and, except in the case of an application in respect of a design to be applied to a
textile article, to wallpaper or to lace, it should further be accompanied by a statement of
the features of the design for which novelty is claimed.
does not
apply
(10) To be
signed by
the
applicant(s)
or his/their
agent