REPUBLIC OF ZAMBIA
Designs Form No. 28
Section 30
Regulation 31
THE REGISTERED DESIGNS ACT
Fee unit: 1
APPLICATION FOR COPY OF CERTIFICATE OF REGISTRATION OF DESIGN
I/We have to inform you that the Certificate of Registration of Design No.
has been (1) .............................................................
I/We therefore apply for the issue of a copy of such certificate (2)
Dated this
day of ............................................, 19 ...............
(3)
Address:
(1) Here state
whether
"lost" or
"destroyed"
or "cannot be
produced", as
the case may
be, and state
in full the
circumstances
of the case
which must
be verified by
affidavit
(2) Here
state the
interest
possessed
by
applicant(s)
in the
design
(3) To be
signed by
the
applicant(s)
or his/their