______________________________________________________________________
_____________________________
7.
PRIORITY CLAIM (if any)
The priority of an earlier application is claimed as follows:
Country (if the earlier application is a regional or international application, indicate the
office with which it is filed)
………………………………………………………………………………………………………
………………………………………… Filing date…………………………..
Application Number:………………………………
The priority of more than one earlier application is claimed:
Yes
No
The data are indicated in the supplemental box * (at annex)
The certified copy of the earlier application
accompanies this Form
will be furnished within three months of the filing of this Form
______________________________________________________________________________
_____________________
8.
SUPPIEMENTAL BOX* (at annex)
Additional information is contained in Supplemental box:
Yes
No
______________________________________________________________________________
_____________________
9.
DEFERMENT OF PUBLICATION
Deferment
of
publication
(under
section
37
of
the
Act)
till………………………………………………(date)
______________________________________________________________________________
_____________________10.
Date: …………………………………
SIGNATURE:………………………………………
**(Applicant/Agent)
________
* Use this Box for any additional information to be furnished
** Use additional sheets whenever necessary
*** Delete whichever is not applicable.
Annex