REPUBLIC OF ZAMBIA
Designs Form No. 19
Section 6
Regulation 25
THE REGISTERED DESIGNS ACT
Fee: 10
APPLICATION TO ENTER ALTERATION OF NAME OR NATIONALITY OF
REGISTERED PROPRIETOR OF DESIGN IN REGISTER
I/We

hereby apply, in respect of design No

, that my/our name(s)

or nationality in the register may be altered to (1)
There has been no change in the actual proprietorship of the said design.
Dated this

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

(2)

My/Our address for service in Zambia:

The Registrar,
The Designs Office,
Lusaka,|Zambia.

(1) Here
insert
particulars
of
alteration

Select target paragraph3