Regulations > Patent Regulations, 1978 > Schedules > Schedule 2 : Forms

Form P10

(To be lodged in duplicate)

REPUBLIC OF SOUTH AFRICA

PATENTS ACT, 1978

PAYMENT AND CERTIFICATE OF RENEWAL

(including a request for extension)

(Section 46 - Regulation 48)

Official application No.		Renewal date	Applicant's or agent's reference
21	01	22	43

Full name (s) of patentee (s)
71

Address for service
74

I forward herewith the under-mentioned amounts marked X.

1.	The amount of R………….in respect of a renewal fee is hereby paid to keep the above patent in force for another period of….year(s) with effect from the above-mentioned renewal date

2.	The amount of R……… 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 R……. in respect of outstanding annual fees after restoration of patent.

Dated this…………… day of…………………………………, 20………….

………………………..

Signature

FOR OFFICIAL USE ONLY

	Receipt of the above amount/s is hereby acknowledge and by virtue of such payment the rights of the patentee/s remain in force.	Receipt No.
	The request for extension of time is hereby granted/refused.
		Official date stamp
		.................................... Registrar of Patents

Note.— Fee payable in terms of Schedule I to the Regulations.

General.—The duplicate will be returned but is not valid unless endorsed with the official stamp.

Patents Act, 1978 (Act No. 57 of 1978)