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pct
request
the undersigned requests that the present
international application be processed
according to the patent cooperation treaty.
for receiving office use onlinternational application no.
international filing date
name of receiving office and ¡°pct international application¡±
applicant¡¯s or agent¡¯s file reference
(if desired) (25 characters maximum)
box no.ititle of invention
box no.iiapplicant this person is also inventor
name and address : (family name followed by given name; for a legal entity, full official designation.the address must include postal code and name of country.the country of the address indicated in this box is the applicant¡¯s state (that is, country) of residence if no state of residence is indicated below.)
telephone no.
facsimile no.
applicant¡¯s registration no.with the office
e-mail authorization: marking one of the check-boxes below authorizes the receiving office, the international searching authority, the international bureau and the international preliminary examining authority to use the e-mail address indicated in this box to send, notifications issued in respect of this international application to that e-mail address if those offices are willing to do so.
as advance copies followed by paper notifications; or exclusively in electronic form (no paper notifications will be sent).
e-mail address:
state (that is, country) of nationality:
state (that is, country) of residence:
this person is applicant
for the purposes of:
all designated states
the states indicated in the supplemental box
box no.iiifurther applicant(s) and/or (further) inventor(s)
further applicants and/or (further) inventors are indicated on a continuation sheet.
box no.ivagent or common representa