Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1694860502615.pdf (Dominica)
COMMONWEALTH OF DOMINICA INDUSTRIAL DESIGN ACT NO.
2 OF 1998 FORM 6 TRANSFER AND ASSIGNMENT OF REGISTERED DESIGN I/We …………………………………………………………………………………… (name(s) and address(es) ………………………………………………………………………………………… the registered owner(s) of Industrial Design No……………………………………..... for a design for………………………………………………………………………… registered 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 services] ……………………………………………………………………….
Signed at ……………………………………………………………………………… (place) on this ……….day of …………………………………….in the year……………….

by ……………………………………………………………………………………… (Signature of owner, agent or legal representative) of and at ………………………………………………………………………………….

on this …………………day of……………………..in the year…………………….

by……………………………………………………………………………………… (Signature of owner, agent or legal representative) The prescribed fee of $.................................. for recording this transfer is submitted herewith.
Name and address of new owner’s agent …………………………………………….. ………………………………………………………………………………………… (Name and address of new owner’s representative for service) Note- This form may be modified to make a partial transfer by specifying what is transferred.