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4. lAVe declare that to the best of my/our knowledge and belief the
statements made above are correct and there is no lawful ground of
objection to the grant of a patent to me/us on this application, and lAVe
pray that a patent may be granted to me/us for the said invention.
5. And IfWe request that the patent may be granted as a patent of
addition to (b) (patent No
.
(the patent to be granted on application No
.
6. And lAVe request that all notices. requisitions, and communications relating to this application may be sent to
..
who are hereby appointed to act for me/us.

(i)

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(Declaration to be signed by anyone named as Inventor who is not an
applicant).
lAVe assent to the making of this application; and I1We further assent
to the making of any application which may be divided out of this
application; and I/\Ve also acknowledge that the applicant is/are my/our
assignee in respect of the invention.

To The Registrar of Patents and Designs, Patents Branch
Federal Ministry of Trade,
Federal Capital Territory, Abuja , Nigeria.

I

(n) Insert (in full) name. address and nationality of applicant(s).
(b) Delete the words which are not applicable.
) Insert ti:le of invention.
d) Insert name of inventor if included at (a).

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e) Insert (in full) name, address and nationality of inventor(s) if not included at (a).

i)

Insert (in full) name. address and nationality of communicator.
To be signed by applicant(s).

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