Request For The Recording Of A Change
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Request For The Recording Of A Change Form. This is a Official Federal Forms form and can be use in PCT US Patent Office.
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Tags: Request For The Recording Of A Change, PCT-RO-113, Official Federal Forms US Patent Office, PCT
PATENT COOPERATION TREATY
From the RECEIVING OFFICE
PCT
To:
REQUEST FOR THE RECORDING
OF A CHANGE
The International Bureau of WIPO
34, chemin des Colombettes
1211, Geneva 20
Switzerland
(PCT Rule 92bis.1)
Date of mailing
(day/month/year)
International application No.
1.
International filing date
(day/month/year)
The following indications appear on record concerning:
the applicant
the inventor
the agent
the common representative
State of Nationality*
Name and address
State of Residence*
Telephone No.
Facsimile No.
E-mail address
2.
This receiving Office hereby requests the International Bureau to record the following change in:
the person
the name
the address
the nationality*
State of Nationality*
Name and address
the residence*
State of Residence*
Telephone No.
Facsimile No.
E-mail address
Notifications by e-mail authorized
3.
*
Further observations, if necessary:
To be indicated only for a change concerning the applicant.
Name and mailing address of the receiving Office
Authorized officer
Facsimile No.
Telephone No.
Form PCT/RO/113 (July 2008)
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