ŽĐ ŽĚĞ͗ WW,͘W d͘ϲϱϮ PTO/SB/20PCT-JP (05-10) Approved for use through 01/31/2015. OMB 0651-0058 U.S. Patent and Trademark Office; U.S DEPARTMENT OF COMMERCE QR SHUVRQV DUH UHTXLUHG WR UHVSRQG WR D FROOHFWLRQ RI LQIRUPDWLRQ XQOHVV LW GLVSOD\V D YDOLG 20% FRQWURO QXPEHU ŽĐƵŵĞŶƚ ĞƐĐƌŝƉƚŝŽŶ͗ WĞƚŝƚŝŽŶ ƚŽ ŵĂŬĞ ƐƉĞĐŝĂů ƵŶĚĞƌ W dͲWĂƚĞŶƚ WƌŽƐ ,ǁLJ 8QGHU WKH 3DSHUZRUN 5HGXFWLRQ $FW RI REQUEST FOR PARTICIPATION IN THE PATENT COOPERATION TREATY – PATENT PROSECUTION HIGHWAY (PCT-PPH) PILOT PROGRAM BETWEEN THE JAPAN PATENT OFFICE (JPO) AND THE USPTO Application No.: First Named Inventor: Filing Date: Attorney Docket No.: Title of the Invention: THIS REQUEST FOR PARTICIPATION IN THE PCT-PPH PILOT PROGRAM ALONG WITH THE REQUIRED DOCUMENTS MUST BE SUBMITTED VIA EFS-WEB. INFORMATION REGARDING EFS-WEB IS AVAILABLE AT HTTP://WWW.USPTO.GOV/EBC/EFS_HELP.HTML. APPLICANT HEREBY REQUESTS PARTICIPATION IN THE PCT-PPH PILOT PROGRAM AND PETITIONS TO MAKE THE ABOVE-IDENTIFIED APPLICATION SPECIAL UNDER THE PCT-PPH PILOT PROGRAM. The above-identified application is (1) a national stage entry of the corresponding PCT application, or (2) a national stage entry of another PCT application which claims priority to the corresponding PCT application, or (3) a national application that claims domestic/ foreign priority to the corresponding PCT application, or (4) a national application which forms the basis for the priority claim in the corresponding PCT application, or (5) a continuing application of a U.S. application that satisfies one of (1) to (4) above, or (6) a U.S. application that claims domestic benefit to a U.S. provisional application which forms the basis for the priority claim in the corresponding PCT application. The corresponding PCT application number(s) is/are: ____________________________________________________ __________________________________________________________________________________________________ The international filing date of the corresponding PCT application(s) is/are: __________________________________ __________________________________________________________________________________________________ I. List of Required Documents: a. A copy of the latest international work product (WO/ISA, WO/IPEA, or IPER) in the above-identified corresponding PCT application(s) is attached. is not attached because the document is already in the U.S. application. b. A copy of all claims which were indicated as having novelty, inventive step and industrial applicability in the above-identified corresponding PCT application(s) is attached. is not attached because the document is already in the U.S. application. c. English translations of the documents in a. and b. above are attached (if the documents are not in the English language). A statement that the English translation is accurate is attached for the document in b. above. d. (1) An information disclosure statement listing the documents cited in the international work products (ISR, WO/ISA, WO/IPEA, IPER) of the corresponding PCT application. is attached. has already been filed in the above-identified U.S. application on ___________________________ (2) Copies of all documents (except for U.S. patents or U.S. patent application publications) are attached. have already been filed in the above-identified U.S. application on __________________________ [Page 1 of 2] This collection of information is required by 35 U.S.C. 119, 37 CFR 1.55, and 37 CFR 1.102(d). The information is required to obtain or retain a benefit by the public, which is to file (and by the USPTO to process) an application. 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OMB 0651-0058 U.S. Patent and Trademark Office; U.S DEPARTMENT OF COMMERCE QR SHUVRQV DUH UHTXLUHG WR UHVSRQG WR D FROOHFWLRQ RI LQIRUPDWLRQ XQOHVV LW GLVSOD\V D YDOLG 20% FRQWURO QXPEHU REQUEST FOR PARTICIPATION IN THE PCT-PPH PILOT PROGRAM BETWEEN THE JPO AND THE USPTO (continued) Application No.: First Named Inventor: II. Claims Correspondence Table: Claims in US Application Patentable Claims in the corresponding PCT application Explanation regarding the correspondence III. All the claims in the US application sufficiently correspond to the patentable claims in the corresponding PCT application. Signature Date Name (Print/Typed) Registration Number [Page 2 of 2] Privacy Act Statement The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patent application or patent. 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