REPUBLIC OF ZAMBIA
Designs Form No. 3
Section 9
Regulation 3
THE REGISTERED DESIGNS ACT
Fee: 1 (b)
APPLICATION FOR REGISTRATION OF DESIGN TO BE APPLIED TO A
SET OF ARTICLES (NON-CONVENTION)
Application is hereby made for registration of the accompanying design for a set of
articles in the name of (1)
of
who claim(s) to be the proprietor(s) thereof.
The design is to be applied to (2)
(3) The design has been previously registered for one or more other articles under
No. ..............................................
(4) The design consists of the design previously registered under No.
with modifications of variations not sufficient to alter the character or substantially to
affect the identity thereof.
Dated this
day of .........................................., 19 ...............
(1) State
full names
and
addresses
of
applicant(s)
(2) Here state
the set of
articles, and
also the trade
description of
each of the
articles
comprised in
the set to
which the
design is to be
applied as
shown in the
representations
(3) and (4)
Delete one
or both
paragraphs,
if
inapplicable