Transcription of PCT - WIPO
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Box No. IIAPPLICANTBox No. ITITLE OF INVENTIONPCTThe undersigned requests that the presentinternational application be processedaccording to the Patent Cooperation s or agent s file reference(if desired) (12 characters maximum)For receiving Office use onlyInternational Application Filing DateName of receiving Office and PCT International Application Name and address:(Family name followed by given name; for a legal entity, full official address must include postal code and name of country. The country of the address indicated in thisBox is the applicant s State (that is, country) of residence if no State of residence is indicated below.)This person is also inventorThis person is applicantfor the purposes of:all designated Statesthe States indicated in the Supplemental BoxState (that is, country) of residence:State (that is, country) of nationality:Box No.
Applicant’s or agent’s fi le reference (if desired) (25 characters maximum) Agent’ s registration No. with the O ffi ce ... for a legal entity, full o ffi cial 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 ...
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