Regulations > Bio-prospecting, Access and Benefit-Sharing Regulations, 2008 > Annexures

Notes:
1.	This agreement must be entered into by an applicant for a permit and any stakeholders identified in terms of the Act and the Regulations.
2.	If there is more than one stakeholder a separate agreement must be entered into with each stakeholder.
3.	If insufficient space is provided in this form, additional information may be included by way of annexures. Alternatively, parties can elect to use their own forms with sufficient space provided for each regulation, as long as those forms follow the general format of this form.
4.	The parties to this agreement must sign the agreement in the space indicated and must initial every other page of the agreement, including any annexures.

1.	Applicant for permit if applicant is a juristic body

1.1.	Name of institution or body:

1.2.	Registration number of institution or body:

1.3.	Contact details of institution or body (including postal/physical address, phone, fax and e-mail address):

1.4.	Name of contact person in institution or body:

1.5.	Capacity of contact person:

2.	Applicant for a permit if applicant is a natural person

2.1	Name of applicant:

2.2.	Identity number of applicant:

2.3.	Contact details of recipient (including postal/physical address, phone, fax and e-mail address):

3.	Provider of access to indigenous biological resources (if applicable)

3.1

Name:

3.2

Capacity:

3.3	If entering into agreement in a representative capacity, state name of principal:

3.4	Contact details (includes physical/postal address, telephone, Fax and e-mail address):

4.	Indigenous community (if applicable)

4.1.	Description of indigenous community:

4.2.	Name of indigenous community representative who will sign this agreement on behalf of the indigenous community:

4.3

Capacity:

4.4	Contact details (includes physical/postal address, telephone, fax and e-mail address) of the indigenous community representative:

A resolution adopted by the indigenous community must be attached to this form. The resolution must confirm that the indigenous community representative indicated above has been authorised to enter into this agreement on behalf of the indigenous community; that the indigenous community has full knowledge of the bioprospecting project; and that it consents to entering into this benefit-sharing agreement.

5.	Type and quantity of indigenous biological resources

This agreement concerns the following indigenous biological resources—

(specify below type of resources, quantity of resources and area or source from which the resources are to be collected or obtained)

Type of organism	Family, genus or species (if possible) (scientific and common names)	Part of organism to be collected	Quantity (Limitation on the quantity of samples)	Full locality data (GIS readings if possible)

6.	Current uses of indigenous biological resources

The present potential uses of the indigenous biological resources to be collected are the following—

7.	Intended use of indigenous biological resources

The manner in which and the extent to which the indigenous biological resources are to be used or exploited for purposes of the bioprospecting are (set out details)—

8.	Traditional use or knowledge (if applicable)

The indigenous community that is a party to this agreement has the following traditional knowledge of the indigenous biological resources or has traditionally used the indigenous biological resources in the following way —

9.	Sharing in benefits

Benefits will vary considerably from case to case and in particular, benefits will vary depending on whether the stakeholder is providing access to the indigenous biological resources or is an indigenous community. The lists below provide examples of monetary and non-monetary benefits that may arise from bioprospecting projects. This first list is more relevant if the stakeholder to this agreement is providing or giving access to the indigenous biological resources while the second list is more relevant if the stakeholder to this agreement is an indigenous community. Tick each block that applies to this agreement and identify below who will be the beneficiary of each benefit and the extent of the benefit (provide supporting documentation where necessary).

To be completed if stakeholder is providing or giving access to the indigenous biological resources

Non-monetary, monetary and 'in kind' benefits
Acknowledgement of parties giving access to resources		Voucher specimens with national institutions
Research results and copies of papers		Participation of South Africans in research
Support for conservation		Access to international collections by South Africans
Species inventories		Recognition and promotion of traditional knowledge/ use
Student training and support		Community development projects
Scientific capacity development		Environmental education
Technology transfer		Fees
Joint Research		Royalties
Information		Upfront payments
Equipment and infrastructure		Milestone payments
Other (specify)		Other financial benefits (specify)
Other (specify)		Other (specify)

To be completed if stakeholder is an indigenous community

Non-monetary, monetary and 'in kind' benefits
Ongoing communication of bio-prospecting objectives, methods and findings, translated into local languages		Copies of proposals, reports and publications
Simplified and popularised posters, manuals, pamphlets and other documents translated into local languages		Recognition and promotion of traditional knowledge/use
Co-authorship of publications		Lodging of specimens
Access to research data		Grants for development and environmental education projects
Copies of photographs and slides		Fees (eg for consultation, assistants, guides, use of facilities and infrastructure)
Inclusion in the research of local collaborators, assistants, guides and informants		Royalties
Training of local people as appropriate in relevant scientific, legal and management issues		Upfront payments
Equipment and infrastructure support		Milestone payments
Co-ownership of any intellectual property rights		Other financial benefits (specify)
Other (specify)		Other (specify)

10.	Payment of benefits

All money arising out of this agreement and due to any party to this agreement must be paid into the Bioprospecting Trust Fund.

11.	Review of agreement

This agreement will be reviewed every (fill in agreed timeframe), with a view to amending the agreement if necessary. One month prior to every review, the permit holder must disclose any new material information with regard to the bioprospecting to all stakeholders to enable stakeholders to participate in the review from an informed basis.

12.	Other matters

Any other matters or conditions which the parties to this agreement wish to record may be attached to this agreement as an annexure.

A copy of this agreement must be lodged with the Director-General of the Department of Environmental Affairs and Tourism within one month of the agreement being concluded.

This agreement constitutes the entire agreement between the parties in regard to the subject matter of this agreement and no addition to, variation or cancellation of this agreement or waiver of any rights under this agreement will be of any force or effect unless reduced to writing and signed by the parties to this agreement.

Signature of applicant for permit:

Date:

Capacity of signatory:

On behalf of:

Endorsement of a juristic body, if applicable

Name of juristic body:

Signature of duly authorised officer from the juristic body:

Date:

Signature of access provider of indigenous biological resource:

Date:

Capacity of signatory:

On behalf of:

Signature of indigenous community representative:

Date:

Capacity of signatory:

On behalf of:

Approved by the Minister of Environmental Affairs and Tourism

Signature

Date:

National Environmental Management: Biodiversity Act, 2004 (Act No. 10 of 2004)

Regulations

Bio-prospecting, Access and Benefit-Sharing Regulations, 2008

Annexures

Annexure 8 : Benefit-sharing agreement