REPUBLIC OF ZAMBIA
Designs Form No. 17
Section 22
Regulation 21 (2)
THE REGISTERED DESIGNS ACT
Fee unit: 1
APPLICATION BY MORTGAGEE OR LICENSEE UNDER REGULATION 21 (2) FOR
ENTRY IN REGISTER OF NOTE THAT HE NO LONGER CLAIMS SUCH INTEREST
Design No.
Name of registered proprietor
Place of business
I/We, the undersigned,
of
apply for entry in the register that I/we no longer claim to be mortgagee(s) or licensee(s)
in respect of design No.
Dated this
day of ......................................., 19 .............
(1) To be
signed by
the
applicant(s)
or his/their
agent
(1)
The Registrar,
The Designs Office,
Lusaka,
Zambia.
REPUBLIC OF ZAMBIA
Designs Form No. 18
Section 17
Regulation 22
THE REGISTERED DESIGNS ACT