Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697797735168.pdf (Dominica)
COMMONWEALTH OF DOMINICA INDUSTRIAL DESIGN ACT NO.
2 OF 1998 FORM 5 TRANSFER AND ASSIGNMENT OF APPLICATION FOR REGISTRATION I/We………………………………………………………………………………… (name(s) and address(es) ………………………………………………………………………………………… ………………………………………………………………………………………… the owner(s) of an application for registration of a design for………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… filed on ………………………………………………………………………………… do hereby transfer all my (our) rights in said design to ………………………………………………………………………………… [name(s) and address(es); indicate also nationalities, residences and any necessary address for service] ………………………………………………………………………………… Signed at……………………………………………………………………………… on this ……………………day of …………………………………in the year……… by……………………………………………………………………………………… ………………………………………………………………………………………… ………………………………………………………………………………………… (Signature of owner, agent or legal representative) and at ………………………………………………………………………………… on this ……………….day of …………………..in the year………………………… by……………………………………………………………………………………… (Signature of new owner, or his agent or legal representative) The prescribed fee of $...................................................for recording this transfer is submitted herewith Name and address of new owner’s representative for service ………………………………………………………………………………………… …………………………………………………………………………………………