The supplementary search request must be filed directly with the International Bureau. The full name or two-letter code of the Authority specified for supplementary search must be indicated by the applicant below: AUTHORITY/ PCT SUPPLEMENTARY SEARCH REQUEST Under Rule 45bis.1, the undersigned requests that a supplementary international search be carried out in respect of the international application specified below: For International Bureau use only Identification of Authority Box No. I Date of receipt of Request IDENTIFICATION OF THE INTERNATIONAL APPLICATION International filing date (day/month/year) International application No. Applicant’s or agent’s file reference (Earliest) Priority date (day/month/year) Title of invention Box No. II APPLICANT Name and address: (Family name followed by given name; for a legal entity, full official designation. Telephone No. The address must include postal code and name of country.) Facsimile No. Applicant’s registration No. with the Office E-mail authorization: Marking this check-box authorizes the International Bureau and the Authority specified for supplementary search to use the e-mail address indicated in this Box to send, if the Authority so wishes, advance copies of notifications in respect of this international application. (See also the Notes to Box No. II.) State (that is, country) of nationality: Box No. III State (that is, country) of residence: AGENT OR COMMON REPRESENTATIVE; OR ADDRESS FOR CORRESPONDENCE The following person is and E-mail address agent common representative has been appointed earlier and represents the applicant(s) also for the supplementary international search. is hereby appointed and any earlier appointment of (an) agent(s)/common representative is hereby revoked. is hereby appointed, specifically for the procedure before this Authority specified for supplementary search, in addition to the agent(s)/common representative appointed earlier. Name and address: (Family name followed by given name; for a legal entity, full official designation. Telephone No. The address must include postal code and name of country.) Facsimile No. Agent’s registration No. with the Office E-mail authorization: Marking this check-box authorizes the International Bureau and the Authority specified for supplementary search to use the e-mail address indicated in this Box to send, if the Authority so wishes, advance copies of notifications in respect of this international application. (See also the Notes to Box No. II.) Form PCT/IB/375 (first sheet) (January 2009) E-mail address See Notes to the supplementary search request American LegalNet, Inc. www.FormsWorkflow.com 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: 1. fee calculation sheet 3. original separate power of attorney 4. original general power of attorney 5. copy of general power of attorney; reference number, if any: 6. sequence listing in electronic form 7. statement confirming that the copy of the sequence listing in electronic form (see above) is identical to the sequence listing disclosed in the description 8. not received translation of the international application for the purposes of the supplementary international search (Rule 45bis.1(c)(i)) 2. received 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: 2. The date of receipt is AFTER the expiration of 19 months from the priority date and items 3 and 4, below, do not apply. 3. 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. 4. 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 American LegalNet, Inc. www.FormsWorkflow.com NOTES TO THE SUPPLEMENTARY SEARCH REQUEST FORM (PCT/IB/375) These notes are intended to facilitate the filing of the supplementary search request form and to give some information concerning the supplementary international search. For more detailed information, see the PCT Applicant’s Guide, a WIPO publication, which is available, together with other PCT related documents, on WIPO’s website: www.wipo.int/pct/en/. The Notes are based on the requirements of the PCT, the Regulations and the Administrative Instructions under the PCT. In case of any discrepancy between these Notes and those requirements, the latter are applicable. In the supplementary search request form and these Notes, “Article”, “Rule” and “Section” refer to the provisions of the PCT, the PCT Regulations and the Administrative Instructions, respectively. The supplementary search request form shall be typed or printed; check-boxes may be marked by hand with dark ink (Rules 11.9(a) and (b) and 11.14). The supplementary search request form and these Notes may be downloaded from WIPO’s website at the address given above. IMPORTANT GENERAL INFORMATION Which International Searching Authority can be selected to carry out a supplementary international search? Only an International Searching Authority which has stated its preparedness to carry out supplementary international searches (Rule 45bis.1(e)), and which is not carrying out the international search under Article 16(1) (“main search”), can be selected (Rule 45bis.9(b)). Information about which Authorities are prepared to carry out such searches and about any possible limitations and conditions is provided in the PCT Applicant’s Guide, Annex SISA. If the applicant wishes more than one supplementary international search to be carried out (Rule 45bis.1(a)), a separate request form should be submitted for each supplementary search requested. Where must the supplementary search request be filed? (Rule 45bis.1). A supplementary search request must be filed with the International Bureau and not with the Authority specified for supplementary search. The International Bureau transmits the request to the Authority selected by the applicant once the requirements under Rule 45bis.1(b), (c)(i)), 45bis.2(c) and 45bis.3(c) have been complied with, but not before the date of receipt by the International Bureau of the international search report or the expiration of 17 months from the priority date, whichever occurs first. The Authority specified for supplementary search chosen by the applicant should be identified, preferably by an indication of the name or two-letter code of the Authority, at the top of the first sheet of the supplementary search request in the space provided for that purpose. When must the supplementary search request be filed? (Rule 45bis.1(a)). The supplementary search request must be filed with the International Bureau prior to the expiration of 19 months from the priority date. In which language must the supplementary search request be filed? (Rule 92.2(d)). The supplementary search request must be filed in either English or French. What is the language of correspondence? (Rule 92.2(d) and Section 104). Any letter from the applicant to the International Bureau must be in English or French, at the choice of the applicant. However, if the language of the international application is English, the letter must be in English; if the language of the international application is French, the letter must be in French. What must the supplementary search request be accompanied by? Where neither the language in which the international application was filed nor that in which a translation (if any) has been furnished under Rule 12.3 or 12.4 is accepted by the Authority specified for supplementary search, a translation of the international application into a language which is accepted by that Authority should be submitted together with the request. If applicable, a copy of a sequence listing in electronic form complying with the standard provided for in the Administrative Instructions, if required by the Authority specified for supplementary search, should preferably be submitted together with the request. Box No. I Applicant’s or Agent’s file reference: A file reference may be indicated, if desired. It should not exceed 12 characters. Characters in excess of 12 may be disregarded (Section 109). Identification of the international application: The international application number must be indicated in Box No. I. International filing date and (earliest) priority date (Section 110): Dates must be indicated by the Arabic number of the day, the name of the month and the Arabic number of the year – in that order; after, below or above such indication, the date should be repeated in parentheses, using two-digit Arabic numerals each for the number of the day and for the number of the month followed by the number of the year in four digits, in that order, and separated by periods, slants or hyphens, for example, “20 March 2008 (20.03.2008)”, “20 March 2008 (20/03/2008)” or “20 March 2008 (20-03-2008)”. Where the international application claims the priority of several earlier applications, the filing date of the earliest application whose priority is claimed must be indicated as the priority date. Title of the invention: If a new title has been established by the International Searching Authority, that title must be indicated in Box No. I. Box No. II Applicant (Rule 45bis.1(b)(i)): The applicant, or, if there is more than one applicant, at least one of the applicants must be indicated in the supplementary search request. Mark in Box No. II of the supplementary search request the same indications that are in Boxes No. II and III of the PCT Request. The Notes to the PCT Request apply mutatis mutandis. Applicant’s registration number with the Office: Where the applicant is registered with the national or regional Office that is acting as the Authority specified for supplementary search, the supplementary search request may indicate the number or other indication under which the applicant is so registered. Telephone, Facsimile Number and/or E-mail address should be indicated for the person named in Box No. II in order to allow rapid communication with the applicant (see Notes to the supplementary search request (PCT/IB/375) (page 1) (January 2009) American LegalNet, Inc. www.FormsWorkflow.com page 2 Rule 4.4(c)). Any telephone or facsimile number should include the applicable country and area codes. A single e-mail address only should be indicated. Unless the associated check-box is selected, any e-mail address supplied will be used only for the types of communication which might be made by telephone. If the associated check-box is selected, the Authority specified for supplementary search and the International Bureau may, if they wish to do so, send advance copies of notifications in respect of the international application to the applicant, thus avoiding processing or postal delays. Any such e-mail notifications will always be followed by the official notification on paper. Only that paper copy of the notification is considered the legal copy and only the date of mailing of that paper copy will commence any time limit within the meaning of Rule 80. Note that it is the applicant’s responsibility to keep any e-mail address details up-to-date and to ensure that incoming e-mails are not blocked, for any reason, on the recipient’s side. Changes to the e-mail address indicated should be requested to be recorded, preferably directly at the International Bureau, under Rule 92bis. Where the e-mail authorization is given both in respect of the applicant and in respect of an agent or common representative, the Authority specified for supplementary search and the International Bureau will send e-mail communications only to the appointed agent or common representative. Box No. III Agent or Common Representative (Rules 45bis.1(b)(i), 90.1 and 90.2): Mark the applicable check-boxes to indicate first whether the person named in this Box is agent or common representative, then whether that person has been appointed earlier (i.e., during the procedure under Chapter I), or is appointed in the supplementary search request and any earlier appointment of another person is revoked, or is appointed specifically for the procedure before the Authority specified for supplementary search (without revocation of any earlier appointment), in addition to the person(s) appointed earlier. Where an additional person is appointed specifically for the procedure before the Authority specified for supplementary search, all notifications issued by that Authority will be addressed only to that additional person. A separate power of attorney must be filed with the Authority specified for supplementary search, the International Bureau or the receiving Office, if the person appointed at the time the supplementary search request is filed (i.e., was not appointed earlier) signs the supplementary search request on behalf of the applicant (Rule 90.4). Agent’s registration number with the Office: Where the agent is registered with the national or regional Office that is acting as Authority specified for supplementary search, the supplementary search request may indicate the number or other indication under which the agent is so registered. Box No. IV Language for the supplementary international search: The language for the purposes of supplementary international search should be indicated in Box No. IV and it should be specified whether that language is that of the international application as filed, the language of the translation furnished for the purposes of international search (Rule 12.3), the language of the translation furnished for the purposes of publication of the international application (Rule 12.4) and/or the language of the translation to be furnished for the purposes of supplementary international search. Where neither the language in which the international application was filed nor that in which a translation (if any) has been furnished under Rule 12.3 or 12.4 is accepted by the Authority specified for supplementary search, a translation of the international application into a language which is accepted by that Authority must be furnished with the supplementary search request. Limitation of the supplementary international search to certain claims: The check-box should be marked where the International Searching Authority has found that the international application does not comply with the requirement of unity of invention and 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 claims relating to the invention selected and, where applicable, the number of the invention as identified by the International Searching Authority, should be indicated in the space provided. Note that where the international search report is available to the Authority specified for supplementary search before it starts the search, the Authority may exclude from the supplementary search any claims which were not the subject of the international search (Rule 45bis.5(d)). Box No. V Check list: It is recommended that this Box be filled in carefully in order for the Authority specified for supplementary search to determine, as soon as possible, whether it is in possession of the documents on the basis of which the applicant wishes supplementary international search to start. Where a translation of the international application must be furnished for the purposes of supplementary international search (Rule 45bis.1(c)(i)), check-Box No. 1 should be marked. Where the international application contains disclosure of one or more nucleotide and/or amino acid sequences, and a copy of the sequence listing in electronic form complying with the standard provided for in the Administrative Instructions is required by the Authority specified for supplementary search, the applicant should preferably furnish the listing in electronic form to the International Bureau with the supplementary search request (Rule 45bis.1(c)(ii)). If this is the case, check-box No.6 should be marked. E- mail address (see Notes to Box. No. II) Box No. VI Address for correspondence Where an agent is appointed, any correspondence intended for the applicant will be sent to the address indicated for that agent (or for the first-mentioned agent, if more than one is appointed). Where one of two or more applicants is appointed as common representative, the address indicated for that applicant in Box No. III will be used. Where no agent or common representative is appointed, any correspondence will be sent to the address, indicated in Box No.II, of the applicant. However, if the applicant wishes correspondence to be sent to a different address in such a case, that address may be indicated in Box No.III instead of the designation of an agent or common representative. In this case, and only in this case, the last checkbox of Box No. III must be marked (that is, the last check-box must not be marked if either of the check-boxes “agent” or “common representative” in Box No. III has been marked). Signature of applicant, agent or common representative (Rules 92.1, 90.3(a) and 90.4(a) and (d)): The supplementary search request must be signed by one of the applicants or by the agent (Rule 90.2(a) or (b)). Important: Should a notice of withdrawal of the supplementary search request be filed, that notice will have to be signed by the applicant or, if there are two or more applicants by all of them (Rule 90bis.5(a)), or by an agent or a common representative whose appointment has been effected by each applicant signing, at his choice, the request, the request for supplementary search, the demand or a separate power of attorney (Rule 90.4(a)). Notes to the supplementary search request (PCT/IB/375) (page 2) ( January 2009) American LegalNet, Inc. www.FormsWorkflow.com PCT FEE CALCULATION SHEET Annex to the supplementary search request For International Bureau use only AUTHORITY International application No. Applicant’s or agent’s file reference Date stamp of the International Bureau Applicant CALCULATION OF PRESCRIBED FEES SS 1. Supplementary search fee ........................................... SH 2. Supplementary search handling fee ............................ 0.00 3. Total of prescribed fees .............................................. TOTAL MODE OF PAYMENT authorization to charge current account with the International Bureau (see below) cheque postal money order bank transfer credit card (details should not be indicated here but furnished to the International Bureau on Form PCT/IB/380) AUTHORIZATION TO CHARGE (OR CREDIT) CURRENT ACCOUNT WITH INTERNATIONAL BUREAU Current Account No.: ___________________________ Authorization to charge the total fees indicated above. Authorization to charge any deficiency or credit any overpayment in the total fees indicated above. Date: ________________________________________ Name: _______________________________________ Signature: ____________________________________ Form PCT/IB/375 (Annex) (January 2009) See Notes to the fee calculation sheet American LegalNet, Inc. www.FormsWorkflow.com NOTES TO THE FEE CALCULATION SHEET (ANNEX TO FORM PCT/IB/375) The purpose of the fee calculation sheet is to help the applicant to identify the prescribed fees and to calculate the amounts to be paid. It is strongly recommended that the applicant complete, by entering the appropriate amounts in the boxes provided, and submit the fee calculation sheet at the time of filing of the supplementary search request. This will help the International Bureau to verify the calculations and to identify any error in them. CALCULATION OF PRESCRIBED FEES Two fees must be paid for supplementary international search: (i) the supplementary search fee for the benefit of the Authority specified for supplementary search (Rule 45bis.3); (ii) the supplementary search handling fee for the benefit of the International Bureau (Rule 45bis.2). Both fees must be paid to the International Bureau within one month from the date on which the request for supplementary search was received. Payments of the fees can only be accepted in Swiss francs. The amount payable shall be the amount applicable on the date of payment. Information as to the amount of those fees can be obtained from the International Bureau. This information is also published in the PCT Applicant’s Guide, Annex SISA, the PCT Newsletter and in Official Notices (PCT Gazette). The fee reduction will be available even if one or more of the applicants are not from PCT Contracting States, provided that each of them is a national and resident of a State that meets the above-mentioned requirements and that at least one of the applicants is a national or resident of a PCT Contracting State and thus is entitled to file an international application. Information about PCT Contracting States whose nationals and residents are entitled to a reduction of 90% of certain PCT fees, including the supplementary search handling fee, is contained in the PCT Applicant’s Guide, Annex C and on the WIPO website (see www.wipo.int/pct/en/), and is also published in the Official Notices (PCT Gazette) and the PCT Newsletter. Calculation of the supplementary search handling fee in case of fee reduction: Where the applicant is (or all applicants are) entitled to a reduction of the supplementary search handling fee, the total to be entered in Box SH is 10% of the supplementary search handling fee. Total Box (item 3): the total of the amounts inserted in Boxes SS and SH is the amount which must be paid to the International Bureau. Box SS: The amount of the supplementary search fee must be entered in Box SS. Box SH: The amount of the supplementary search handling fee must be entered in Box SH. Reduction of the supplementary search handling fee for applicants from certain States: An applicant who is a natural person and who is a national of and resides in a State whose per capita national income is below 3,000 US dollars (according to the average per capita national income figures used by the United Nations for determining its scale of assessments for the contributions payable for the years 1995, 1996 and 1997), or who is a national of and resides in one of the following States: Antigua and Barbuda, Bahrain, Barbados, the Libyan Arab Jamahiriya, Oman, the Seychelles, Singapore, Trinidad and Tobago and the United Arab Emirates; or an applicant, whether a natural person or not, who is a national of and resides in a State that is classed as a least developed country by the United Nations, is entitled, in accordance with the Schedule of Fees, to a reduction of 90% of certain PCT fees including the supplementary search handling fee. If there are several applicants, each must satisfy the above-mentioned criteria. The reduction of the supplementary search handling fee will be automatically available to any applicant (or applicants) who is (or are) so entitled on the basis of the indications of name, nationality and residence given in Box No. II of the supplementary search request. MODE OF PAYMENT In order to help the International Bureau identify the mode of payment of the prescribed fees, it is recommended to mark the applicable check-box(es). Credit card details should not be furnished with the request for supplementary search but on Form PCT/IB/380 which can be obtained from the WIPO website (see www.wipo.int/pct/en/forms/ib/ib380.pdf). AUTHORIZATION TO CHARGE (OR CREDIT) CURRENT ACCOUNT This mode of payment is only available if a current account has been opened with the International Bureau. Information on how to open such an account with the International Bureau can be found on WIPO’s website: www.wipo.int/pct/en/filing/ account.htm. Any current account with the receiving Office cannot be charged for the purpose of paying the supplementary search fee and the supplementary search handling fees due to the International Bureau. The International Bureau will not charge fees to current accounts unless the current account authorization is signed and indicates the current account number. Notes to the fee calculation sheet (Annex to Form PCT/IB/375) (January 2009) American LegalNet, Inc. www.FormsWorkflow.com