Form D.T. No. 5
Section 24
Rule 12
THE REGISTERED DESIGNS ACT
Fee units: 4
APPLICATION FOR RECTIFICATION OF REGISTER OF DESIGNS
(1) State
name and
address of
applicant(s)

I/We (1)

hereby apply in respect of Design No.

that the register

may be rectified in the following manner (2)
The grounds upon which I/we base this application are as follows:

(3) State
briefly the
grounds

(3)

Dated this

(2) State
manner in
which
register is
to be
rectified

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


(4)
My/Our address for service in Zambia:

The Registrar,
The Designs Office,
Lusaka,
Zambia.
(As amended by Act No. 13 of 1994)

(4) To be
signed by
the
applicant(s)
or his/their
legal
practitioner

Select target paragraph3