Fillable Form 1: ENTRY FORM FOR SUPPLEMENTARY OR AEGROTAT (Kwazulu-Natal Department of Health)

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Form 1: ENTRY FORM FOR SUPPLEMENTARY OR AEGROTAT (Kwazulu-Natal Department of Health)

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PATENT EXAMINATION BOARD
ENTRY FORM FOR SUPPLEMENTARY OR AEGROTAT PATENT EXAMINATIONS IN TERMS OF
THE PATENT EXAMINATION REGULATIONS (AS AMENDED)
To be received by The Secretary, The Patent Examination Board, Consumer and Corporation Regulation Division, Department of
Trade and Industry (at above address or via email), at least 1 week prior to the date of the earliest supplementary/aegrotat
examination, together with proof of payment.
Please write clearly
Surname: _____________________________________
Full forenames: ______________________________________________
Tel: (W) ______________________ (H) _______________________ (cell) ________________________
E-mail for official correspondence: _______________________________________________________
Student number: ______________
I hereby apply to write the following examinations, for whi
ch I have been awarded a supplementary or aegrotat
examination:
Subject Fees
Tick appropriate
subject
(a) Legal Framework for the Protection of Intellectual Property in
South Africa
R700
(b) South African Patent Law and Practice
R700
(c) South African Design Law and Practice
R700
(d) Selected International Patent Laws, Systems and Treaties
R700
(e) The Drafting of Patent Specifications
R1,400
(f) Practical Legal Problems with Regard to Patents
R700
(g) Patent Attorneys’ Practice
R700
(h) Interpretation of Drawings
R700
Total payment due
R
Pretoria Cape Town
Durban
_______________________________________ ____________________________
Candidate’s signature
Date
Payments can be made into the following account:
Account holder: Department of Trade and Industry Account Number: 370 650 026 Bank: Standard Bank
Branch: Sunnyside Branch Code: 010645
Reference: PEB00DTI followed by your initials and surname [Note: without this reference, your payment cannot be processed]
Postal address:
Private Bag X84
Pretoria 0001
Physical address:
c/o Consumer & Corporate Regulation Division
1
st
Floor, Building B
cnr 77 Meintjies & Robert Sobukwe Streets
Sunnyside, Pretoria
Email: PEBSecretariat@thedti.gov.za
Please indicate where you would prefer to write the examination(s), but note that the Patent Examination Board
has the discretion to decide at which venue(s) examinations will be written. In certain instances supplementary or
aegrotat examinations will be held in Pretoria only, or in Pretoria and Cape Town only (if selecting Durban, please
also select an alternative venue and mark with a “B”, in the event that Durban is not available):
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Form 1: ENTRY FORM FOR SUPPLEMENTARY OR AEGROTAT (Kwazulu-Natal Department of Health)

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Completed 18 November 2020

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