SCHEDULE A

FORM A

Prepared by me

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

(Signature)

CONVEYANCER

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

(State surname and initials in block letters.)

DEED OF TRANSFER NO DT .................

WHEREAS .................................................................................................................................

appeared before me, ...............................................................................................................

the official designated by the Director-General: Minerals and Energy and the said Appearer, duly authorised thereto by a Power of Attorney granted to him or her by  ……………………………………………………………. (hereinafter called the transferor) which power of attorney was signed at …………………………………………………………………………………. on the ………..…………………… day of …………………………………….20 ........ and is filed in this office.

AND the said Appearer declared that the transferor had sold, exchanged, rectified or donated and that the said appearer, in his or her capacity hereby transfers to ..............................................................................,.............................................  (hereinafter called the transferee):—

CERTAIN  ....................................................................................................................................

situate on the farm ………………..……......................................................in the ...............................

................................................. Region now held under:—

together with all the obligations and rights granted by law with respect thereto and subject to such conditions as are mentioned or referred to in the said documents of title.

Wherefore all the right, title and interest which the transferor heretofore had to the right aforesaid is renounced, and in consequence it is also acknowledged that the transferor is entirely dispossessed of, and disentitled to, the same, and that, by virtue of these presents the aforesaid transferee now is entitled thereto, the State however, reserving its rights.

Signed, executed and sealed at the Mineral and Petroleum Titles Registration Office at PRETORIA on this .......... day of ...........................................................................  20 ...........

q.q.

In my presence,

DIRECTOR-GENERAL: MINERALS AND ENERGY.

Registered on the above date in the Register of Transfers under DT ...................