numbered (7) ...................................................................
in (5)
on (6) ............................................................
numbered (7) ...................................................................
convention
country in
which the
first
application
was made
(6) Here
insert the
official
date of the
first
application
in a
convention
country
country/countries qualify under (8) Article 2/3 of the Convention by reason of being (8) a (7) Here
insert
national of/
official
domiciled in/having a place of business in a member state, namely
number of
, and that I/we qualify under the said (8)
first
Article 2/3 by reason of being (8) a national of/domiciled in/having a place of business in application
in
a member state, namely
and that to the best of my/our knowledge and belief there is no lawful ground of objection
convention
to the grant of a patent to me/us on this application and that I/we pray that a patent may be
countryand
granted to me/us for the invention in priority to other applicants, and that such patent shall
that the said
application
have the date (6)
or each of
and (8) I/we declare the said invention(s) is/are an improvement in or modification of
the said
applications
was the first
application
in a
convention
country in
respect of
the relevant
invention
by me/us or
by any
person from
whom I/we
derive title,
and that the
applicant(s)
in the