Patents Act, 1978 (Act No. 57 of 1978)RegulationsPatent Regulations, 1978SchedulesSchedule 2Form P17 |
Form P17
REPUBLIC OF SOUTH AFRICA
PATENTS ACT, 1978
APPLICATION TO BE REGISTERED AS A PATENT AGENT OR A PATENT ATTORNEY
(Section 20 - Regulation 70)
R25 Official date stamp |
Full name of applicant: |
Full business address of applicant: |
Full residential address of applicant: |
Date of birth of applicant: |
Nationality of applicant: |
Date of admission as an attorney: |
Date of certificate by the board for the recognition of examinations in law: |
Date of registration as a patent agent: |
Date of certificate by the Patent Examination Board: |
Registration sought as: Patent Agent, Patent Attorney: |
I , the above applicant, hereby solomnly and sincerely declare that-
| (a) | the information given herein is to the best of my knowledge and belief correct; |
| (b) | I know of no reason or impediment why I should not be registered for the office set out above and there are no disciplinary proceedings or enquiries pending against me by the South African Insitute of Intellectual Property Law or by any law society; |
| (c) | I undertake to uphold the dignity and reputation of the profession for which I seek to be registered and to discharge faithfully, diligently, honestly and with courtesy any duties which I may undertake on behalf of a client, without favour, fear or prejudice; and |
| (d) | I undertake that in my dealings as an officer of the Court of the Commissioner of Patents and with the Patent Office and adversaries I shall be faithful, diligent and honest and that I shall not countenance any attempts to mislead and bring into dispute my profession, the Court or the Patent Office. |
Declared at........................ this................... day of .................................. 19................
..............................................................
Signature