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Form P3
REPUBLIC OF SOUTH AFRICA
PATENTS ACT, 1978
DECLARATION AND POWER OF ATTORNEY
(Section 30 - Regulations 8, 22 (1) (c) and 33)
I/We,.............................................................................................................................................
..........................................................................................................................hereby declare
that­
1.
2. 	

	

I/We am/are the applicant(s) mentioned above;
I/We have been authorised by the applicant(s) to make this
declaration and have knowledge of the facts herein stated in the capacity of
................................................. of the applicant(s);

3. 	

the inventor(s) of the above-mentioned invention is/are the person(s) named
above and the applicants(s) has/have acquired the right to apply by virtue of
...........................................................................................................................
...........................................................................................................................

4. 	

to best of my/our knowledge and belief, if a patent is granted on the
application, there will be no lawful ground for the revocation of the patent;

5. 	

this is a convention application and the earliest application from which priority
is claimed as set out above is the first application in a convention country in
respect of the invention claimed in any of the claims; and

6. 	

the partners and qualified staff of the firm of ............................... patent
attorneys/patent agents, have been authorised, jointly and severally, with
powers of substitution and revocation, to represent the applicant(s) in this
application and to be the address for service of the applicant(s) while the
application is pending and after a patent has been granted on the application.

Signed at ........................., this ..................day of .......................... 19......................


.....................................................
Signature

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