Doc Code: Oath
PTO/AIA/08 (11-15)
Document Description: Oath or declaration filed
Approved for use through 4/30/2017. OMB 0651-0032
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
Attorney Docket
DECLARATION FOR UTILITY OR
Number
DESIGN
First Named Inventor
PATENT APPLICATION
COMPLETE IF KNOWN
(37 CFR 1.63)
Application Number
Declaration
Declaration
Filing Date
Submitted
Submitted After Initial
With Initial
OR
Filing (surcharge
Art Unit
Filing
(37 CFR 1.16(f))
required)
Examiner Name
(Title of the Invention)
As a below named inventor, I hereby declare that:
This declaration is directed to:
The attached application,
OR
United States Application Number or PCT International application number
filed on
.
The above-identified application was made or authorized to be made by me.
I believe I am the original inventor or an original joint inventor of a claimed invention in the application.
I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
by fine or imprisonment of not more than five (5) years, or both.
The address
Direct all
Correspondence
associated with
OR
correspondence to:
address below
Customer Number:
Name
Address
City
State
Zip
Country
Telephone
Email
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