REPUBLIC OF SOUTH AFRICA PATENTS ACT, 1978 APPLICATION FOR A PATENT AND ACKNOWLEDGEMENT OF RECEIPT (Section 30 (1) Regulation 22)

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1 FORM P1 APPLICATION FOR A PATENT AND ACKNOWLEDGEMENT OF RECEIPT (Section 30 (1) Regulation 22) The granting of a patent is hereby requested by the undermentioned applicant on the basis of the present application filed in duplicate Official Application No. Applicant s or Agent s Reference Full name(s) of applicant(s) Entity declaration Address(es) of applicant(s) 54 Title of invention The applicant claims priority as set out on the accompanying Form P2 The earliest priority claim Is: Country: Number: Date: This application is for a patent of addition to Patent Application No. This application is a fresh application in terms of section 37 and is based on application No. This application is accompanied by: 1. A single copy of a provisional or single copy of a complete specification of pages. 2. Drawings of sheets 3. Publication particulars and abstract (Form P8). 4. A copy of Figure of the drawings (if any) for the abstract. 5. Assignment of invention. 6. Certified priority document. 7. Translation of the priority document. 8. Assignment of priority rights. 9. A copy of the Form P2 and the specification of S.A. patent application No. 10. Declaration and power of attorney on Form P3.

2 11. Statement on the Use of Indigenous Biological Resource, Genetic Resource, Traditional Knowledge or Use on Form P Request for ante-dating. 13. Entity declaration Form P Address for Service Dated this... day of..20. Received Signature of applicant(s) or agent Registrar of patents The duplicate will be returned to the applicant's address for service as proof of lodging but is not valid unless endorsed with official stamp. NOTES (i) The reference should be given, if available. (ii) Furnish the applicant's name in full and, if the applicant is a body corporate other than a South African company, the nature and country of incorporation should be given. (iii) Where possible the street address of a natural person and the street address of the principal place of business of a corporation should be given. (iv) The attention of applicants is drawn to regulation 29. (v) Delete if not applicable. (vi) to (viii) Mark the relevant document with a cross in the appropriate block. The attention of applicants is drawn to regulations 34, 35, 36 and 37. (ix) Applicants are reminded that they must have an address for service in the Republic. If the address for service is that of a registered agent, the name of his firm and that of the city or town are all that are required. General. - Fees are payable in terms of Schedule 1 to the regulations.

3 FORM P2 REGISTER OF PATENTS Official application No. Lodging date: Provisional Acceptance date International classification Lodging date: Complete Granted date Full name(s) of applicant(s)/patentee(s) Entity status Applicants substituted: Date registered Assignee(s) Date registered Full name(s) of inventor(s) 72 Priority claimed Country Number Date Title of invention Address of applicant(s)/patentee(s)

4 Address for service 74 Patent of addition no. 61 Fresh application based on Date of any change Date of any change AMENDMENTS AND RECTIFICATIONS, ETC. Document Date of application Advertisement date Opposition date Allowance or refusal Date of letter PROCEEDINGS BEFORE THE COMMISSIONER OF PATENTS Nature Taken by: Against Date commenced Date of order Appeals to High Court TPD/AD Date withdrawn LICENCES, ATTACHMENTS AND HYPOTHECATIONS Nature In favour of: Date registered Date cancelled RENEWALS Year Date paid Receipt Penalty RESTORATIONS Date Advertise applied d for Opposed Restored by Date of restoration REMARKS: (FOR OFFICE USE ONLY)

5 LATE LODGING OF DOCUMENTS (Section 30(6) - Regulation 38) FORM P5 OFFICIAL APPLICATION NO. LODGING DATE Applicant s or Agents Reference: 22 Full name(s) of applicant(s) 54 Title of invention The following documents not accompanying the application as lodged or required by the Registrar are hereby submitted: 1. A single copy of a provisional or two copies of a complete specification of pages. 2. Drawings of 3. Publication particulars and abstract (Form P8 in duplicate). 4. A copy of Figure 5. Assignment of invention. 6. Certified priority document. 7. Translation of the priority document. 8. Assignment of priority rights. 9. A copy of the Form P2 and the specification of S.A. Patent Application No 10. Declaration and power of attorney on Form P Statement on the Use of Indigenous Biological Resource, Genetic Resource, Traditional Knowledge or Use on Form P Request for ante-dating 13. Entity status declaration Form P27. Dated this... day of..20. Signature of applicant or agent Acknowledgement of late lodging of documents Received... Registrar of patents Registrar of patents

6 PUBLICATION PARTICULARS AND ABSTRACT (Section 32(3)(a) Regulation 22(1)(g) and 31) FORM P8 Official application No. Lodging date Acceptance date International application No. International lodging date 51 International classification Not for publication CLASSIFIED BY: Full name(s) of applicant(s) Entity declaration 72 Full name(s) of inventor(s) Earliest priority claimed Country Number Date 33 NIL 31 NIL 32 NIL 54 Title of invention 57 Abstract (not more than 150 words) Number of sheets If no classification is furnished, Form P9 should accompany this form. The figure of the drawing to which the abstract refers is attached.

7 FORM P10 PAYMENT AND CERTIFICATE OF RENEWAL (including a request for extension) Section 46 (Regulations 1(1), 2(2) and 48) Official application No. Renewal Date Applicant s or agent s reference Full name(s) of patentee(s) 73 Entity declaration Address for Service 74 I forward herewith the undermentioned amounts marked X. 1. The amount of in respect of a renewal fee is hereby paid to keep the above patent in force for another period of 1 year with effect from the above-mentioned renewal date. 2. The amount of..is hereby paid and you are requested to grant an extension of month(s) for the payment of the renewal fee. 3. The amount of.. in respect of outstanding annual fees after restoration of the patent. Dated this... day of Signature FOR OFFICIAL USE ONLY Receipt of the above amount(s) is hereby acknowledged and by virtue of such payment the rights of the patentee(s) remain in force. Receipt No. The request for the extension of time is hereby granted/refused. Official date stamp Note: Registrar of Patents Fee payable in terms of Schedule 1 to the Regulations. General:- The duplicate will be returned but is not valid unless endorsed with the official stamp.

8 ENTRY OF INTERNATIONAL APPLICATION UNDER THE PATENT COOPERATION TREATY INTO SOUTH AFRICAN NATIONAL PHASE AND ACKNOWLEDGEMENT OF RECEIPT (Section 42E (1) Regulation 67B) FORM P25 The processing under the Patents Act, 1978 of the undermentioned international application designating South Africa is hereby requested on the basis of this form filed in duplicate Official Application No. Applicant s or Agent s Reference International application No. International filing date Priority date Full name(s) of applicant(s) Entity declaration Address(es) of applicant(s) 54 Title of invention The applicant claims priority (if any) as set out in the abovementioned international application This application is for a patent of addition to Patent Application No. The abovementioned international application was filed in English or has been published under the Patent Cooperation Treaty in English This application is accompanied by: 1. Translation of the international application (including amendment/s and drawing/s, where relevant) 2. Certified priority document(s) 3. Translation(s) of the priority document(s) 4. Form P.2 5. A declaration and power of attorney on Form P.3 6. Statement on the Use of Indigenous Biological Resource, Genetic Resource, Traditional Knowledge or Use on Form P An Assignment of Invention 8. Form P.8 9. Form P4 requesting delay of acceptance 10. Request for change of address / change of applicant s name on Form P.4

9 11. Entity declaration Address for Service 74 Dated this... day of..20. Signature of the applicant(s) or agent Received Registrar of patents

10 FORM P27 DECLARATION OF ENTITY STATUS (Section 30 - Regulations 8, 22(i)(c) and 33) Official Application No. Applicant s or Agent s Reference Full name(s) of applicant(s) Entity declaration Address(es) of applicant(s) Earliest priority claimed Country Number Date 33 NIL 31 NIL 32 NIL NOTE: The country must be indicated by its International Abbreviation - see schedule 4 of the Regulations 54 Title of invention I/We hereby declare that I/we have read and understood the Definition of a Small Medium Micro Enterprises as set out in the National Small Business Amendment Act (26 of 2003). I/We hereby confirm that to our knowledge and belief, as of the lodgment date, we are a Small Medium Micro Enterprises in accordance with the definition. I/We believe, therefore, that I/we am/are entitled to pay fees at the Small Medium Micro Enterprises level in respect of this application or patent. Signed at on this..day of 20 SIGNATURE(S) (no legalization necessary)