REPUBLIC OF ZAMBIA
Designs Form No. 11
Section 15 (2)
Regulation 18
THE REGISTERED DESIGNS ACT
Fee unit: 1
APPLICATION FOR EXTENSION OF COPYRIGHT IN DESIGN
FOR A SECOND PERIOD OF FIVE YEARS
I/We hereby apply for the extension of the period of copyright in design No.
for a second period of five years.
Dated this

day of ........................................., 19 ............... 

(1)

The Registrar,
The Designs Office,
Lusaka,
Zambia.

(This part of the form to be filled in at the Designs Office)
CERTIFICATE OF EXTENSION OF COPYRIGHT IN DESIGN FOR 

THE SECOND PERIOD OF FIVE YEARS 

This is to certify that

did on the
day of .............................................., 19 ............ 

make application and pay the prescribed fee for the extension of copyright in design 

No.

and that the copyright is hereby extended 


for a second period of five years until the

day of 


................................................... 19 ........... 

Sealed at my direction, this

day of ......................................., 


(1) State
name and
full
address to
which
certificate
is to be
sent

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