Patents Act, 1978 (Act No. 57 of 1978)RegulationsPatent Regulations, 1978SchedulesSchedule 2Form P4 |
Form P4
(To be lodged in duplicate)
REPUBLIC OF SOUTH AFRICA
PATENTS ACT, 1978
APPLICATION OR REQUEST TO THE REGISTRAR
(Regulation 39)
Fees payable in terms of Schedule 1 of the Regulations |
Official date stamp |
Patent/Application No. |
21 |
01 |
In the name of: |
In terms of section ........................................ of the Act and/or regulation ...................................... of the Patent Regulations, the applicant hereby requests the following: |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
Documents, if any, lodged in support of the request: |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
................................................................................................................................................................................................................................................................................................................. |
.....................................................
Signature of applicant or agent
FOR OFFICIAL USE ONLY
The above application or request is hereby allowed / refused. Reasons for refusal or conditions of allowance, if any:
|
Official date stamp |
........................................................................ Registrar of Patents |