2.
PERSON(S) MAKING REQUEST:
Name:
………………………………………………………………………………………………
……………………….
………………………………………………………………………………………………
……………………….
Address:
………………………………………………………………………………………………
………………………
…��…………………………………………………………………………………………
………………………
Telephone Number
Fax Number
(if any)
(if any)
……….……………
………………….
..………………….
______________________________________________________________________________
_____________________
3.
What kind of amendment or correction do you want to make?
-
-
Clerical error
-
-
Obvious mistake
-
-
Amendment of specification
______________________________________________________________________
_____________________________4.
What is the amendment or correction you
want to make?
(continue on a separate sheet of paper if necessary)
5.
What is the reason for the request?
(continue on a separate sheet of paper if necessary)
______________________________________________________________________________
_____________________6.
REQUEST:
E-mail
(if any)