SCHEDULES
First Schedule.
regs. 3, 17.
Forms.
The Patents Act.
Form 1.

Application for a Patent.

I/We the applicant(s) request(s) the grant of a patent in respect of the
following particulars—
1.

Title of invention ___________________________________________

2.

Applicant(s)1
(a) Name _______________________________________________
(b) Address _____________________________________________
(c) Nationality ___________________________________________
(d) Country _____________________________________________
(e) Country of residence or principal place of business ___________

3.

Representative—
(a) Name _______________________________________________
(b) Address _____________________________________________

4.

Inventor—
The inventor is the applicant— Yes/No
If not—
Name of applicant _______________________________________
Address _______________________________________________

5.

Divisional application2 —
(a) Initial Application No. __________________________________
(b) D a t e
of
filing
initial
application
___________________________

1

Data concerning each applicant must appear in this space. If this space is not sufficient put

additional information on separate sheet.

2
If divisional application supply reference to the initial application and indicate whether

benefit from any priority claimed for initial application is sought.


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