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 is enclosed:
Yes
No
If No, it will be furnished by………………………………..……………………(date)
7.
Limitation/Disclaimer
Indicate
any
limitation
or
disclaimer…………………………………………………………………………………………..
………………………………………………………………………………………………
…………………………………….
8.
APPLICANT(S) (the data concerning each applicant must appear in this box or, if the
space is insufficient, in the supplemental box** - at annex).
FULL NAME
ADDRESS/TELEPHONE/FAX/E-
OF EACH
MAIL
NATIONALITY
RESIDENCE
APPLICANT
(Underline
surnames)
If the applicant is a corporate body, give country and, if applicable, State of incorporation
9.
Specification of Goods/Services (according to the Nice Classification)
If the space provided for the specification of goods/services is insufficient then please
continue on separate sheets. List the classes in consecutive numerical order and list
alongside each class the goods or services appropriate to that class.