Patent Form - Brela Page 2

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accompanying this form
to be filed within one month
from the filing of this form.
Name:
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(Form No. 2 first page)
Form No. 2 (contd)
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Address:
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Telephone number
Telegraphic Address
Telex Number
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IV.
INVENTO
Additional information is contained in
The inventor is the Applicant
supplemental box
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If inventor is not the applicant
Name:
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Address:
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The sworn declaration under Section 18 (2) (b) including a statement
justifying the applicant’s right accompanies this form.
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V.
DIVISION APPLICATION
This application is divisional application
The benefit
of the
filling fee
Priority date of the initial
Application is claimed in as much as the
subject matter of the present
Application is contained in the initial application identified below
Initial Application No:
Date of filing or priority date. If any of initial application:
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VI.
DISCLOSURES TO BE DISREGARDED FOR PRIOR ART PURPOSES
Disclosure occurred not more than six months before filling date or, where
priority is claimed, priority date of the present application by reason or in
consequence of:-
Acts performed by the applicant or his predecessor in title (including the
display of the invention at an officially, recognised intonation exhibition).
2

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