Intellectual Property Rights from Publicly Financed Research and Development Act, 2008 (Act No. 51 of 2008)

Regulations

Purchase

NIPMO REFERENCE NUMBER
RECIPIENT
Contact Details
NIPMO DECISION BEING APPEALED / REVIEW REQUESTED (please provide supporting documents)

DATE OF NIPMO DECISION
(Day)	(Month)	(Year)

BASIS OF APPEAL /REVIEW (please provide particulars of appeal / review)

NAME OF AUTHORISED REPRESENTATIVE OF RECIPIENT	SIGNATURE	DATE
		(Day)	(Month)	(Year)