REPUBLIC OF ZAMBIA
Designs Form No. 22
Section 25 (1)
Regulation 27 (1)
THE REGISTERED DESIGNS ACT
Fee unit: 1
APPLICATION BY REGISTERED PROPRIETOR OF DESIGN TO CANCEL
REGISTRATION
Design No
Name of registered proprietor
Address
I/We, the undersigned,
of
apply that the registration of design No
Dated this
may be cancelled.
day of .........................................., 19 ............
(1)
The Registrar,
The Designs Office,
Lusaka,
Zambia.
(1) To be
signed by
the
applicant(s)
or his/their
agent