REPUBLIC OF ZAMBIA
Designs Form No. 23
Section 25 (2)
Regulation 27 (2)
THE REGISTERED DESIGNS ACT
Fee Unit: 1
APPLICATION FOR CANCELLATION OF REGISTRATION UNDER
SECTION 25 (2) OF THE ACT
Design No.
I/We
of
hereby apply for cancellation of the registration of design No.
on the ground that (1)
Dated this
day of ......................................., 19 ............
(2)
My/Our address for service in Zambia:
The Registrar,
The Designs Office,
Lusaka,
Zambia.
NOTE.-The application must be accompanied by a copy thereof and a statement of case in
duplicate.
(1) Here
state
ground(s)
on which
cancellation
is requested
(2) To be
signed by
the
applicant(s)
or his/their
agent