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Declaration and Power of Attorney for Patent Application (French Language Declaration) Form. This is a Official Federal Forms form and can be use in Patent US Patent Office.
Tags: Declaration and Power of Attorney for Patent Application (French Language Declaration), PTO-SB-105, Official Federal Forms US Patent Office, Patent
Doc code: Oath Document Description: Oath or declaration filed PTO/SB/105 (05-16) Approved for use through 04/30/2017. 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. Num�ro de registre de l'avocat Attorney Docket Number Nom de l'inventeur First Named Inventor COMPLETER SI CONNU COMPLETE IF KNOWN Num�ro de demande Application Number Date de d�p�t Filing Date Domaine artistique Art Unit D�CLARATION DE DEMANDE DE BREVET D'INVENTION OU DE BREVET DE CONCEPTION (37 CFR 1.63) DECLARATION FOR UTILITY OR DESIGN PATENT APPLICATION (37 CFR 1.63) D�claration soumise avec d�p�t initial Declaration Submitted With Initial Filing D�claration soumise apr�s d�p�t initial (surcharge exig�e (Par l'article 37 CFR 1.16(f)) Declaration Submitted After Initial Filing (surcharge (37 CFR 1.16(f)) required) OU OR Nom de l'examinateur Examiner Name Je d�clare par la pr�sente que : (1) la r�sidence, l'adresse postale et la nationalit� de chaque inventeur correspondent aux informations indiqu�es cidessous, apr�s leur nom ; et (2) je confirme l'identit� du ou des inventeur(s) nomm�s ci-dessous et je confirme �galement que l'inventeur mentionn� cidessus est l'inventeur � l'origine d'une invention pour laquelle un brevet est d�pos� et intitul�e : I hereby declare that: (1) Each inventor's residence, mailing address, and citizenship are as stated below next to their name; and (2) I believe the inventor(s) named below to be the original and first inventor(s) of the subject matter which is claimed and for which a patent is sought on the invention titled: Titre de l'invention (Title of the Invention) dont je suis � l'origine de la demande ou de l'autorisation the application of which was made or was authorized to be made by me and a �t� jointe � ce document is attached hereto OU OR a �t� d�pos�e le (JJ/MM/AAAA) international PCT was filed on (MM/DD/YYYY) sous le num�ro suivant (num�ro de demande am�ricain ou num�ro de demande et a �t� amend�e le (JJ/MM/AAAA) (le cas �ch�ant). as United States Application Number or PCT International Application Number (if applicable). and was amended on (MM/DD/YYYY) Je d�clare par la pr�sente avoir examin� et compris le contenu de la demande identifi�e ci-dessus, dont les revendications, en cas de modification par un amendement � la date figurant ci-dessus. I hereby state that I have reviewed and understand the contents of the above identified application, including the claims, as amended by any amendment specifically referred to above. Je reconnais devoir divulguer certaines informations n�cessaires � la constitution du dossier de demande de brevet, comme d�fini dans le document 37 CFR 1.56. Cela s'applique �galement aux demandes de � continuation-in-part �, o� les informations fournies sont disponibles entre le moment du d�p�t de la premi�re demande et celui o� la demande est d�pos�e aux bureaux charg�s d'attribuer un num�ro de demande am�ricain ou international PCT � la demande de � continuation-in-part �. I acknowledge the duty to disclose information which is material to patentability as defined in 37 CFR 1.56, including for continuation-in-part applications, material information which became available between the filing date of the prior application and the national or PCT international filing date of the continuation-in-part application. [Page 1 sur 4] [Page 1 of 4] This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. 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. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 21 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com PTO/SB/105 (05-16) Approved for use through 04/30/2017. 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. D�CLARATION -- Demande de brevet d'invention ou de brevet de mod�le DECLARATION -- Utility or Design Patent Application Revendication de priorit� �trang�re Claim of Foreign Priority Benefits En vertu de l'article 35 U.S.C. 119(a)-(d) ou (f ) ou 365(b), je revendique par la pr�sente la priorit� �trang�re sur toute demande �trang�re de brevet, de brevet d'invention ou d'obtention v�g�tale, ou de l'article 365(a) pour toute demande internationale PCT �nonc�e et identifi�e ci-dessus qui d�signe au moins un pays autre que les �tats-Unis d'Am�rique, en cochant la case correspondante, toute demande �trang�re de brevet, de certificat d'inventeur ou d'obtentions v�g�tales, ou toute demande internationale PCT comportant une date de d�p�t pr�alable � la demande dont je revendique la priorit�. I hereby claim foreign priority benefits under 35 U.S.C. 119(a)-(d) or (f ), or 365(b) of any foreign application(s) for patent, inventor's or plant breeder's rights certificate(s), or 365(a) of any PCT international application which designated at least one country other than the United States of America, listed below and have also identified below, by checking the box, any foreign application for patent, inventor's or plant breeder's rights certificate(s), or any PCT international application having a filing date before that of the application on which priority is claimed. Num�ro(s) de demande �trang�re pr�alable Prior Foreign Application Number(s) Pays Country Date de d�p�t �tranger (JJ/MM/AAAA) Foreign Filing Date (MM/DD/YYYY) Priorit� non revendiqu�e Priority Not Claimed Copie certifi�e jointe ? Certified Copy Attached? OUI NON YES NO Num�ro(s) de demande(s) �trang�r