Request For Grant Of Patent printable pdf download

Patents Form No. 1

For Official Use

PATENTS ACT 1983

Application received on : …………………………………..

REQUEST FOR GRANT OF PATENT

Fee received on ……………..………………………………

(Regulations 7(1))

Amount .…………………………………….………………

To : The Registrar of Patents

*Cheque / Postal Order / Money Order / Draft / Cash

Patents Registration Office

No. …………………………………………………….

Kuala Lumpur, Malaysia

Date of mailing ……………………………………………..

Please submit this Form in duplicate together

Applicant’s file reference ……………………….

with the prescribed fee

THE APPLICANT(S) REQUEST(S) THE GRANT OF A PATENT IN RESPECT OF THE FOLLOWING

PARTICULARS :

Title Of Invention : …………………………………………………………………………………………………

…………………………………………………………………………………………………

II.

APPLICANT(S) (the data concerning each applicant must appear in this box or, if the space insufficient, in the space

below :

Name :………………..…………………………………………………………………….……………………..

I.C./Passport No. : …….……………………………………………………………………………………………

Address : …………………………………………………………………….…………………………………..…

……………………………………………………………………………….………………………….

Address for service in Malaysia : ………………………………………….…………………………………….

………………………………………….…………………………………………………………………………

Nationality : ………………………………………….…………………………………………………………..

*Permanent residence or principal place of business :

………………………………………….…………………………………………………….…………………..

………………………………………………………………………….………………………….………………

Telephone Number

Fax Number

(if any)

……………………………..

…………………..………

Additional Information (if any)

Request For Grant Of Patent