REPUBLIC OF ZAMBIA
Designs Form No. 10
Section 9 (4)
Regulation 16
THE REGISTERED DESIGNS ACT
Fee: 3
REQUEST FOR EXTENSION OF TIME WITHIN WHICH AN APPLICATION
FOR THE REGISTRATION OF A DESIGN MAY BE COMPLETED
I/We hereby apply for
, month's extension of time
within which the application No.
design may be completed.
Dated this
for the registration of a
day of ........................................, 19 .............
(1)
The Registrar,
The Designs Office,
Lusaka,
Zambia.
(1) State
name and
full
address to
which
receipt is
to be sent