REPUBLIC OF ZAMBIA
Designs Form No. 30
Section 52
Regulation 40
THE REGISTERED DESIGNS ACT
Fee unit: 1
FORM OF AUTHORISATION OF AGENT
I/We (1)
(1) The full
names of all
the partners
in a firm
must be
inserted, and
the kind and
country of
incorporation
of bodies
corporate
stated
have appointed (2)
of
(2) Here
insert
name and
address of
agent
to act as my/our agent for (3)
(3) Here
state the
No. ......................................
particular
and request that all notices, requisitions and communications relating thereto may be sent to matter or
such agent at the above address.
proceeding
I/We hereby revoke all previous authorisations, if any, in respect of the same matter or
for which
proceeding.
the agent is
Dated this
day of ............................................, 19 .............
appointed,
giving the
reference
number, if
known
Address:
(4)
(5)
(4) To be
signed by