Fillable Form Pct/ib/375 - Supplementary Search Request (Page 2 of 6) in pdf

International application No.

Sheet No. . . .

Continuation of Box No. III

ADDRESS FOR CORRESPONDENCE

Address for correspondence: Mark this check-box where no agent or common representative is/has been appointed and the

space above is used instead to indicate a special address to which correspondence should be sent.

Box No. IV

BASIS FOR SUPPLEMENTARY INTERNATIONAL SEARCH

Language for the purposes of supplementary international search: ................................................................................................

which is the language in which the international application was filed

which is the language of translation furnished for the purposes of international search

which is the language of translation furnished for the purposes of international publication

which is the language of the translation to be furnished for the purposes of supplementary international search

Following the finding by the International Searching Authority that the international application does not comply with the

requirements of unity of invention, the applicant wishes to limit the supplementary international search to one of the inventions

as identified by the International Searching Authority other than the main invention referred to in Article 17(3)(a). The

numbers of the claims relating to this invention are:

Box No. V

CHECK LIST

For International Bureau use only

The supplementary search request is accompanied by the item(s) marked below:

received

not received

translation of the international application for the purposes of the

supplementary international search (Rule 45bis.1(c)(i))

fee calculation sheet

original separate power of attorney

original general power of attorney

copy of general power of attorney; reference number, if any:

sequence listing in electronic form

statement confirming that the copy of the sequence listing in electronic form

(see above) is identical to the sequence listing disclosed in the description

other (specify):

Box No. VI

SIGNATURE OF APPLICANT, AGENT OR COMMON REPRESENTATIVE

Next to each signature, indicate the name of the person signing and the capacity in which the person signs (if such capacity is not obvious from reading this request).

For International Bureau use only

1. Date of actual receipt of REQUEST:

The date of receipt is AFTER the expiration of 19 months from the priority date and items 3 and 4, below, do not apply.

The date of receipt of the request is WITHIN the time limit of 19 months from the priority date as extended by virtue of

Rule 80.5.

Although the date of receipt of the request is after the expiration of 19 months from the priority date, the delay in arrival is

EXCUSED pursuant to Rule 82.

Form PCT/IB/375 (last sheet) (January 2009)

See Notes to the

supplementary search request