Fillable Form 1: Official use only www.thedti.gov.za/business_regulation/patent.jsp Postal address: (Kwazulu-Natal Department of Health)

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Page 1 of 4
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
www.thedti.gov.za/business_regulation/patent.jsp
Email: PEBSecretariat@thedti.gov.za
PATENT EXAMINATION BOARD
ENTRY FORM FOR 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), by no later than 31 January of the year of the
examination, together with confirmation of total payment due (as calculated in Item H).
Please type or write clearly
A. PERSONAL DETAILS
Surname
Full forenames
Date of birth
Are you a South African citizen or resident (Y/N)?
If not a South African citizen or resident, attach copy of work or study permit
ID number
(Passport number if a non-South African citizen or resident)
Tel: (W)
(H)
(C)
E-mail for official correspondence
Employer (if applicable)
Is this a law firm (Y/N)?
Gender
Race
(for statistical purposes only)
Official use only
Examination No:
Fees paid:
Documents outstanding:
Regs 3, 5, 6 or 17:
Page 2 of 4
B. ENROLMENT DETAILS
1. Year first enrolled for the patent examinations
2. If previously enrolled, please provide examination number
3. If this is the first time you are applying to write one or more of the
patent examinations, please indicate in terms of which regulation
you are entitled to enrol (see end of form for Regulation 3)
* Regulation 3(a)
* Regulation 3(b)
** Regulation 3(c)
* If you are enrolling in terms of regulation 3(a) or 3(b), please provide details of your qualifications
in the section below and post, courier or hand deliver originally certified copies of the relevant
certificates to the above address
Qualification
Year
Institution
Qualification
Year
Institution
Qualification
Year
Institution
** If you are enrolling in terms of regulation 3(c), please provide a description of your relevant
experience in an accompanying letter
4. Indicate a venue to write the examinations. If selecting Cape Town or Durban, also select an
alternative venue (“B”) in the event that your preferred venue is unavailable.
Pretoria Cape Town Durban
C. REQUEST FOR EXEMPTION(S)
Subject
Regulation under
which exemption is
requested
Reason
Fees
R200
R200
R200
Payment due
R
D. PATENT EXAMINATIONS PREVIOUSLY PASSED
Subject
Year Passed
Please attach schedule(s) of results from previous year(s)
Page 3 of 4
E. ENROLMENT FOR GROUP 1 SUBJECTS
Year first enrolled for a Group 1 subject
Subject
Fees
(a) Legal Framework for the Protection of Intellectual Property in South Africa
R500
(b) South African Patent Law and Practice
R500
(c) South African Design Law and Practice
R500
Payment due
R
F. ENROLMENT FOR GROUP 2 SUBJECTS
Year first enrolled for a Group 2 subject
Subject
Fees
(d) Selected International Patent Laws, Systems and Treaties
R500
(e) The Drafting of Patent Specifications
R1,000
(f) Practical Legal Problems with Regard to Patents
R1,000
(g) Patent Attorneys Practice
R1,000
(h) Interpretation of Drawings
R500
Payment due
R
G. DISCRETIONS OF THE BOARD
Y
N
N/A
1. Are you applying to write a Group 1 or Group 2 subject more than 4 years after first
enrolling for any Group 1 or Group 2 subject, respectively?
If yes, provide a motivation for the Board to consider when making a decision in
terms of Regulation 5 or 6. Have you attached a motivation?
2. Are you requesting credit for any subjects which you passed 5 or more years ago?
If yes, provide details of subject(s) and a motivation for the Board to consider when
making a decision in terms of Regulation 17. Have you attached the details of the
subject(s) and motivation?
I hereby certify that the information furnished on this form is correct to the best of my knowledge and belief.
Signature
Date
Note:
Applications received after 31 January and by 15 February will only be considered on payment of the
penalty fee for late enrolment (in addition to the enrolment fee).
No applications received after 15 February will be accepted.
Any request for a withdrawal or refund must be received by 31 March. No refunds will be considered after
this date.
Students who have not submitted this entry form and the required documents will not be permitted to
write any exams.
Payments to be made into the following account:
Account holder: Department of Trade and Industry
Account Number: 370 650 026
Bank:
Standard Bank
Branch:
Sunnyside (010645)
Reference:
PEB00DTI followed by your initials and surname [without this reference, your
payment cannot be processed]
Page 4 of 4
I. DOCUMENTS CHECKLIST
Proof of payment
Copy of study or work permit if you are a non-South African citizen or resident
Originally certified copies of qualifications if enrolling in terms of Reg. 3(a) or 3(b)
Letter providing details of relevant experience if enrolling in terms of Reg. 3(c)
Schedule(s) of results from previous years
J. Regulations 3, 5, 6 and 17
3. Only candidates who qualify in terms of at least one of the following criteria shall be entitled to enrol for the
examinations:
(a) a candidate in possession of a technical or scientific diploma or degree from a university or university of
technology, involving at least a three-year course of study;
(b) a candidate in possession of any technical or scientific qualification, which in the opinion of the Board is
sufficient to enable the candidate to meet the requirements of the patent examinations; or
(c) any candidate who has adequate practical experience in a technical or scientific field, which in the opinion
of the Board, is sufficient to enable the candidate to meet the requirements of the patent examinations.
5. A candidate who fails to pass or obtain an exemption from all of the subjects in Group 1 of regulation 9 within
a period of four calendar years after first enrolling for the examination shall not be allowed to enrol for any
further examination of the Board except with the permission of the Board.
6. A candidate who fails to pass or obtain an exemption from all of the subjects in Group 2 of regulation 9 within
a period of four calendar years after first enrolling for any Group 2 subject shall not be allowed to enrol for any
further examination of the Board except with the permission of the Board.
17. A candidate who has passed a subject or obtained an exemption from a subject shall retain credit for that
subject for a period of five years or for such longer period as the Board may allow. In the event of a candidate
not passing or being exempted from every subject provided for by regulation 9 within such period of five years,
the Board may, in its discretion, either extend such period or require the candidate to sit for one or more of the
subjects again. In exercising its discretion in terms of this regulation, the Board shall consider the general
performance of the candidate, as well as changes in the relevant law, practice or syllabus, and any other
circumstances, which it may consider relevant.
H. PAYMENT CALCULATOR
Description
Fee
Total
Checked
(For official use only)
Enrolment fee (non-refundable)
R500
R
Penalty fee for late enrolment
R500
R
Request for exemption(s)
R200 per subject
R
Examination fees – Group 1 subjects
R500 each
R
Examination fees – Group 2 (d)
R500
R
Examination fees – Group 2 (e)
R1,000
R
Examination fees – Group 2 (f)
R1,000
R
Examination fees – Group 2 (g)
R1,000
R
Examination fees – Group 2 (h)
R500
R
Total payment due
R
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Form 1: Official use only www.thedti.gov.zabusiness_regulationpatent.jsp Postal address: (Kwazulu-Natal Department of Health)

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Completed 18 November 2020

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