REPUBLIC OF ZAMBIA
PATENTS FORM NO. 5
Regulation 3 (5)
THE PATENTS ACT
PROVISIONAL SPECIFICATION
(1)

(1) State
title
verbally
agreeing
with that in
the
application
form

(2) I/We .

(2) State
full name,
description
and address
of
applicant(s)
as in
application
form

do hereby declare this invention to be described in the following statement:

(3)

(3) Here begin
description of the
invention. The
continuation of
the specification
should be upon
paper of foolscap
size on one side
only, with the
lines well spaced
and with a margin
of one inch and a
half on the
left-hand part of
the paper. The

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