Yes
No
If No, the statement should be filed within one month from the filing of the application.
______________________________________________________________________________
_____________________
9.
9.
Enter the number of sheets for any of the following items you are filing with this
form. Do not count copies of the same document
Continuation sheets of this form:Description
Claim(s)
Abstract
Drawing(s)
10.
10.
If you are filing any of the following, state 'how many against each item.
Priority documents
Translations of priority documents
Statement of inventorship and right to grant a patent
Result of search and examination
Any other documents (please specify)
………………………………………………….
…………………………………………………
11.
11.
………………………………….
Signature:…………………………………..
(Date)
_____
*Use this box for any additional information to be furnished
**Delete whichever is not applicable.
(**Applican