PATENT COOPERATION TREATY From the RECEIVING OFFICE PCT To: NOTIFICATION OF INTENTION TO MAKE DECLARATION THAT INTERNATIONAL APPLICATION CONSIDERED WITHDRAWN (PCT Article 14(4) and Rule 29.4) Date of mailing (day/month/year) Applicant’s or agent’s file reference REPLY DUE International application No. International filing date (day/month/year) within TWO MONTHS from the above date of mailing Applicant The applicant is hereby notified that, for the reason(s) indicated below, this receiving Office intends to declare that the international application will be considered withdrawn based upon the tentative finding that the requirements under Article 11(1) were not complied with at the time the international filing date was accorded. 1. The applicant obviously lacks the right to file an international application with this receiving Office for reasons of residence and nationality (Article 11(1)(i) and Rules 18 and 19). 2. The description is not in (one of) the prescribed language(s), which is (are): (Article 11(1)(ii) and Rules 12.1(a) and 20.1(c)). 3. The claims are not in (one of) the prescribed language(s), which is (are): (Article 11(1)(ii) and Rules 12.1(a) and 20.1(c)). 4. The application does not contain an indication that it is intended as an international application (Article 11(1)(iii)(a) and Rule 4.2). 5. The application does not contain the name of the applicant, as prescribed (Article 11(1)(iii)(c) and Rule 20.1(b)). 6. The application does not contain a part, which, on the face of it, appears to be a description (Article 11(1)(iii)(d) and Rule 5) (See Annex). 7. The application does not contain a part, which, on the face of it, appears to be a claim or claims (Article 11(1)(iii)(e) and Rule 6) (See Annex). __________________________________ ____________________________________ If the applicant disagrees with this tentative finding, the applicant may, within the time limit indicated above, submit to this receiving Office arguments to that effect. Furthermore, where item 6 and/or 7 apply, the applicant is hereby invited, within the applicable time limit under Rule 20.7, to confirm, in accordance with Rule 20.6(a), that the element referred to in Article 11(1)(iii)(d) and/or (e) was incorporated by reference under Rule 4.18 (see Annex for details), and to make observations, if any. Name and mailing address of the receiving Office Authorized officer Facsimile No. Telephone No. Form PCT/RO/115 (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com International application No. ANNEX TO FORM PCT/RO/115 Continuation of items 6 and/or 7: Where the applicant wishes to confirm in accordance with Rule 20.6(a) that the element referred to in Article 11(1)(iii)(d) and/or (e) was incorporated by reference under Rule 4.18, the applicant shall furnish, within two months from the date of mailing of this invitation (Rule 20.7(a)(i)), the following: 1. Written notice confirming that the element referred to in Article 11(1)(iii)(d) and/or (e) was incorporated by reference in the international application under Rule 4.18 (no special form required). 2. Sheet or sheets embodying the entire element as contained in the earlier application, which the applicant desires to be part of the international application, in the following language (Rule 12.1bis): a. language of filing of the international application, that is, in _____________________________________________ b. language of translation under Rule 12.3(a), that is, in ___________________________________________________ c. language of translation under Rule 12.4(a), that is, in ___________________________________________________ 3. Where the applicant has not already complied with Rules 17.1(a), (b) or (b-bis) in relation to the priority document, a copy of the earlier application as filed. 4. Translation of the earlier application into the following language (Rule 20.6(a)(iii)): a. language of filing of the international application, that is, into ____________________________________________ b. language of translation under Rule 12.3(a), that is, into _________________________________________________ c. language of translation under Rule 12.4(a), that is, into _________________________________________________ If this receiving Office finds that the requirements of Rules 4.18 and 20.6 have been complied with and that the element referred to in Article 11(1)(iii)(d) and/or (e) was completely contained in the earlier application, that element will be considered to have been contained in the purported international application on the date on which one or more elements referred to in Article 11(1)(iii) were first received by this receiving Office. Form PCT/RO/115 (Annex) (July 2009) American LegalNet, Inc. www.FormsWorkFlow.com