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

Regulations

Patent Regulations, 1978

Schedules

Schedule 2

Form P18
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Form P18

 

REPUBLIC OF SOUTH AFRICA

 

PATENTS ACT, 1978

 

REQUEST FOR REMOVAL FROM THE REGISTER OF PATENT AGENTS AND PATENTS'

ATTORNEYS

(Section 23 - Regulation 72)

 

R10

Official date stamp

 

Full name of applicant:

 

Full address of applicant:

 

Date of registration:

 

Registered as:

 

 

I, the above mentioned applicant, hereby request in terms of section 23 (1) (a) that my name be removed from the above register, and

 

I hereby declare that no disciplinary enquiry or proceedings are pending against me by the South African Institute of Intellectual Property Law or any law society and that the reasons why I seek to have my name removed from the register are .....................................................................................................................................

 

Declared at ............................. this....................... day of...................... 19 ............

 

 

......................................................................

Signature

                                                                   

 

Received copy hereof this ...................................... day of ....................................... 19 ............

 

 

....................................................................

S.A. Institute of Intellectual Property Law        

 

 

 

Received copy hereof this .......................................... day of ................................... 19 ...........

 

 

...................................................................

Law Society