MergedFile · SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES PATENTS FORM 1 . Request for Grant...

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Transcript of MergedFile · SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES PATENTS FORM 1 . Request for Grant...

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 1 Request for Grant of Patent

a. Among other requirements, a Date of Filing will be issued only if a description of the invention is filed or if a complete and valid statement is made under Part 9 of this form.

Pre-requisites:

This form may take approximately 15 - 20 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Checkboxes should be marked with a cross where applicable. c. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Title of Invention*

Title of Invention*

PART 3 Details of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in Part 11.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

Company Profile (for Singapore incorporated

businesses only.Please cross if applicable)

Small and Medium Enterprise1

1 Small and medium-sized enterprises in Singapore will be defined as businesses with annual sales turnover of not more than $100 million or employing no more than 200 staff.

PART 4 Declaration of Priority under Section 17(2)

A. Country

Application No.

Filing Date (DD/MM/YYYY)

B. Country

Application No.

Filing Date (DD/MM/YYYY)

PART 5 Inventor*

A. Are all applicants named above also

inventors?

X Yes No

B. If yes, are there any other inventors? Yes No

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PART 6 Claiming the Filing Date of an Earlier Singapore Application

This application is A divisional of an earlier Singapore application.

An application filed in response to an order by the Registrar after determination of a question regarding the entitlement of an earlier Singapore application.

Application No.

Filing Date

(DD/MM/YYYY)

PART 7 Disclosure of Invention Prior to Filing

The invention was displayed at an international exhibition on a date later than the start of the period of 12 months before the date of filing this application.

PART 8 Micro-Organism Deposited under the Budapest Treaty

The invention requires the use of a micro-organism and for disclosure purposes, a culture of the micro-organism has been deposited for with an international depository authority under the Budapest Treaty.

PART 9 Description Incorporated by Reference to an Earlier Relevant Application

No description is filed with this request. Instead the description of the invention for which the patent is sought is incorporated in the application by reference to, and is completely contained in, the following earlier relevant application, as filed:

Country

Application No.

Filing Date (DD/MM/YYYY)

PART 10 Checklist*

Checklist A The application consists of the following no. of sheets

Request sheet(s)

Description sheet(s)

Claim sheet(s)

Drawing sheet(s)

Abstract

sheet(s) (Note:Please indicate on the abstract the figure of the drawing, if any, which should accompany the abstract when published)

Total number of sheets sheet(s)

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Checklist B The application as filed is accompanied by:

Statement of inventorship & right to grant (Patents Form 8)

International exhibition certificate

PART 11 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 12 Declaration*

Declaration

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

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By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent, for the purposes of this application, on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

a. A declaration should be made in Part 4 if you are claiming priority on one or more earlier relevant applications under section

17(2). For each of the earlier applications, its filing date and the country in which it was filed must be furnished, and if available at the time of filing this form, its application number. Where an earlier application is an International Application or a regional patent application (e.g. European patent application), one of the countries designated in that application [being one falling under section 17 of the Patents Act] should be identified and the country should be entered in the space provided.

Specific notes:

b. In Part 5, a Statement of Inventorship and of Right to the Grant of a Patent is to be filed on Patents Form 8 if:

i. Your answer to Question A is 'No'; or

ii. Your answer to Question A is 'Yes' and your answer to Question B is 'Yes'.

c. Part 6 should be completed if you are claiming the filing date of an earlier Singapore application as the filing date of this

application under section 20(3), 26 or 47(4).

d. Part 7 should be selected if you had disclosed the invention at an International Exhibition and you wish for this disclosure to be disregarded in accordance with section 14(4)(c) and rule 8 of the Patents Rules.

e. Part 8 should be selected if the specification of the application refers to one or more micro-organisms deposited with an International Depository Authority under the Budapest Treaty. Attention is drawn to the Fourth Schedule of the Patents Rules.

f. Part 9 should be completed only if you are not filing a patent description with this form but instead are relying on incorporating the description of an earlier relevant application declared in Part 4.

g. If you are a resident in Singapore and you wish to apply for patent protection for an invention outside of Singapore, you can do so only if:

i. You have obtained written permission from the Singapore Registry of Patents; or

ii. You have applied or are going to apply for a patent for the same invention in Singapore, a period of not less than 2 months has passed after the application has been filed in Singapore, and no directions had been issued by the Registrar under section 33 by the Registrar or any such directions have been revoked. Attention is drawn to sections 33 and 34 of the Patents Act

h. Part 10 - Please indicate on the abstract the figure of the drawing, if any, which should accompany the abstract when published

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 2 Reference to Registrar on Determination of Entitlement

to Patent before or after Grant

a. Please have a statement setting out fully the nature of the question, the facts relied upon and the order or other relief sought ready.

Pre-requisites:

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Making the Reference* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Question in the Accompany Statement Referred to*

The Question in the Accompany Statement is Referred to the Registrar under the Section of the Patents Act as Indicated

(Cross only one box)

Section 20(1)(a) - whether the person is entitled to be granted a patent for that invention or has or would have any right in or under any patent so granted or any application for such a patent

Section 20(1)(b) - whether any right in or under application

should be transferred or granted to any other person

Section 47(1)(a) - who is/ are the true proprietor(s) of the patent

Section 47(1)(b) - whether the patent should have been granted to the person(s) to whom it was granted

Section 47(1)(c) - whether any right in/ under the patent should be transferred or granted to any other person(s)

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 4 Application for Authorisation by Registrar to carry out

Act on Behalf of Person to Whom Directions were Given

a. Please have a statement setting out fully the facts relied upon and the nature of the authorisation sought ready. Pre-requisites:

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Details of Person Filing the Request* Note: If there is insufficient space, please use the continuation sheet CS 1

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person to Whom the Directions of the Registrar were Given* Note: If there is insufficient space, please use the continuation sheet in CS 1.

Total No. of Person to Whom the Directions

were Given

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Directions of the Registrar*

Directions of the Registrar were Given

under the Following Provision:

(Cross only one box)

Section 20(1)(a) Section 20(1)(b)

Section 47(1)(a) Section 47(1)(b)

Section 47(1)(c)

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

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Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration and Request

I/ We declare that the person(s) stated in Part 4 has failed to carry out within 14 days the directions of the Registrar given under the provision set out in Part 5 in respect of the patent application/ patent as set out in the accompanying statement.

I/ We accordingly request that the Registrar authorise me/ us to carry out the said directions on behalf of the person to whom the directions were given.

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 5 Request for Directions on Handling of Dispute between

Joint Applicants

a. Please have a statement setting out fully the facts relied upon and the directions sought ready. Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Details of Person Filing the Request* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Name of Joint Applicant* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration and Request

I/ We declare that a dispute has arisen between the person(s) named in Part 3 and the joint applicant(s) named in Part 4, in respect of the stated patent application and request that an order of the Registrar be made giving directions for enabling the application to proceed.

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

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Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

Sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 6 Reference to Registrar to Determine Question of

Licence

a. Please have a statement setting out fully the facts relied upon and the terms of the licence which you are prepared to accept or grant ready.

Pre-requisites:

This form may take approximately 15 - 20 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Making the Reference* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

The Person Making the Reference is/ are :

(Only one checkbox may be crossed)

Applicant for the patent;

Proprietor for the patent;

Person claiming entitlement to the grant of a licence

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PART 5 Question Referred to the Registrar*

(A)

Whether a licence should be granted on the stated patent application/ patent to the person stated below:

Name

Singapore Address Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of

Incorporation*

State of Incorporation

(mandatory for USA corporations)

Country of Residency (mandatory for

individuals)

(B)

Whether the period or terms of the proposed licence, (a copy of which is attached), are reasonable.

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Request

I/ We request that the Registrar should determine the question indicated in Part 5 and, if he considers it appropriate, order the grant of such a licence

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PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 7 Application to Add and/ or Remove Inventors

a. This form is to be accompanied by a statement setting out fully the facts relied upon. Pre-requisites:

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Application under Section 24*

I/ We declare that (Note: Cross the appropriate

checkbox or checkboxes.)

and/ or

I am/ we are the inventor(s) of the invention which is the subject of the said application for a patent and accordingly have a right to be mentioned as such in accordance with the terms of section 24(1);

The person stated below ought not to have been mentioned in pursuance of section 24(1) as the sole or joint inventor of the invention which is the subject of the said application

Name

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 8 Statement of Inventorship and of Right to Grant of

Patent

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Title of Invention*

Title of Invention*

PART 4 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Inventor* Note: If there is insufficient space, please use the continuation sheet CS 5.

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 7.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality*

State of Residency (mandatory for USA)

Country of Permanent Residence*

(mandatory for individuals)

The Above Inventor was Resident in Singapore at

Any Time during the Period of Invention?

Yes No

PART 6 Derivation of Right*

The Applicants Derived the Right from the

Inventor to be Granted the Said Application*

(Note: Only one checkbox may be crossed)

By Contract of Employment

By Assignment of Invention

Others (Please specify below)

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PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 5 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Statement

Statement I/ We believe that the person(s) stated in part 5 is/ are the inventor(s) of the invention in respect of which the patent application is made. I/ We also consent to the publication of the details contained herein to each of the inventors as stated in part 5.

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PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 9 Request for Early Publication

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 10 Request for Search Report or Supplementary Search

Report

a. If you are making a request under the ASEAN Patent Examination Co-operation (ASPEC) programme, please refer to the ASPEC Notice and Procedures available on IPOS's website at

Pre-requisites:

http://www.ipos.gov.sg for the documents that need to be filed together with this form.

This form may take approximately 5 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Request Type* Note:

If the request is for a supplementary search report, please indicate the claim(s) to be searched.

Request Type (Note :Cross only one

checkbox)

Request for a search report

Request for a supplementary search report in respect of a second or subsequent invention identified in the claim numbers:

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PART 5 ASEAN Patent Examination Co-operation (ASPEC)

ASPEC (Note

: Please cross if applicable)

ASPEC requested

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 11 Request for Search and Examination Report

a. If you are making a request under the ASEAN Patent Examination Co-operation (ASPEC) programme or a request under the Patent Prosecution Highway (PPH), please refer to the ASPEC or PPH Notice and Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents to be filed together with this form.

Pre-requisites:

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 ASEAN Patent Examination Co-operation (ASPEC) / Patent Prosecution Highway (PPH)

ASPEC / PPH (Note

: Please cross if applicable)

ASPEC / PPH requested and required documents are attached

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 11A Furnishing of Prescribed Details

a. This form should be filed only for an application lodged before 14/02/2014 and having a date of filing before 01/07/2004. Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Prescribed Details Furnished*

Application/ Serial No. Office Filed Filing Date (DD/MM/YYYY)

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 11B Furnishing of Prescribed Information

a. This form should be filed only for an application lodged before 14/02/2014. Pre-requisites:

b. If you are submitting a copy of a granted patent downloaded from the website of a prescribed patent office, the declaration made by the person who downloaded the copy must be attached together in this submission.

c. If you are making a request under the Patent Prosecution Highway (PPH) programme, please refer to the PPH Notice and Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents to be filed together with this form.

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Corresponding International Application or Corresponding Application Relied Upon*

Corresponding International Application

or Corresponding Application Relied Upon*

Application/ Serial No.

Office Filed

Filing Date (DD/MM/YYYY)

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PART 5 Prescribed Information Furnished*

Prescribed Information Furnished*

(Note

:Cross only one

checkbox)

A certified copy of granted patent or a copy thereof

Document(s) setting out the final results of the search and examination as to substance

PART 6 International Patent Classification (IPC)* Note:a. The International Patent Classification Symbol should be in the format as provided at WIPO's website:

http://www.wipo.int/classifications/ipc/en/. b. If there is insufficient space, please use the continuation sheet in CS 6.

International Patent Classification(IPC) of the

Corresponding International Application

or Corresponding Application*

PART 7 Patent Prosecution Highway (PPH)

PPH (Note : Please cross if

applicable) PPH requested

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

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Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 11C Notice of Intention to Rely on International Preliminary

Report on Patentability

a. This form should be filed only for an application which is an international application that has entered national phase in Singapore before 14/02/2014 and having a date of filing on or after 01/07/2004.

Pre-requisites:

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Notice of Intention*

Notice of Intention*

I/ We confirm that the said applicant(s) intend(s) to rely on the international preliminary report on patentability under section 29(2)(e)(ii) of the Patents Act.

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 12 Request for Examination Report

Pre-requisites: a. If you are relying on an International Search Report or a Search Report of a corresponding application, corresponding

international application or related national phase application, this form is to be accompanied by:

A copy of the search report and if this report is not in English, a verified English translation of the report.

Each cited document referred to in the search report.

If one or more cited document referred to the search report is not in English, a list of references to the patent family members of these cited documents and where this list is not in English, a verified English translation of this list.

b. If you are making a request under the ASEAN Patent Examination Co-operation (ASPEC) programme or a request under the Patent Prosecution Highway (PPH), please refer to the ASPEC or PPH Notice and Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents to be filed together with this form.

Estimated Time: This form may take approximately 8 - 12 minutes to complete. General: a. * denotes mandatory fields. b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant*

Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Request Type*

Request Type* (Note:Cross only one

checkbox)

Request for an examination report relying on a search report issued by the Registrar

Request for an examination report relying on an international

search report

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Request for an examination report relying on the search report

of a corresponding application, corresponding international application or related national phase application

Application/ Patent

No.

Prescribed Patent

Office/ PCT

PART 5 ASEAN Patent Examination Co-operation (ASPEC) / Patent Prosecution Highway (PPH)

ASPEC / PPH (Note: Please cross if

applicable)

ASPEC / PPH requested and required documents are attached

PART 6 Contact Details*

Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 12A Request for Supplementary Examination Report

Pre-requisites: a. If you are making a request under the Patent Prosecution Highway (PPH) programme, please refer to the PPH Notice and

Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents to be filed together with this form.

Estimated Time: This form may take approximately 8 - 12 minutes to complete. General: a. * denotes mandatory fields. b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Request*

Request (Note:Cross only one

checkbox)

You are relying on an International Preliminary Report on Patentability (Chap 1)

PCT Article 19 amendments were made/

specification has been amended at national

phase

X Yes No

You are relying on an International Preliminary Report on Patentability (Chap 2)

Specification has been amended at national phase X Yes No

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You are relying on the results of a corresponding application or

corresponding international application (details to be provided below)

(i) Application/ patent no. of the corresponding application or the

corresponding international application

(ii) Filed in or under (Prescribed patent office/ Patent Co-operation

Treaty)

Specification has been amended X Yes No

PART 5 International Patent Classification (IPC)* Note: If there is insufficient space, please use the continuation sheet in CS 6.

International Patent Classification (IPC) for

the Application*

PART 6 Documents to be Submitted

Documents to be Submitted

(Note:Cross only one checkbox)

A certified copy of granted patent or a copy thereof, or document(s) setting out the final results of the search and examination as to substance

A completed claims correspondence table

PART 7 Remarks

Remarks

PART 8 Patent Prosecution Highway (PPH)

PPH (Note: Please cross if

applicable)

PPH requested

PART 9 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

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Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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Page 1 of 3

SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 12B Request for Examination Review Report

Estimated Time: This form may take approximately 5 - 8 minutes to complete. General: a. * denotes mandatory fields. b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant*

Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Document furnished*

Document furnished (Note:Cross only one

checkbox)

Written submissions only are filed

Written submissions and proposed amendments are filed

(proposed amendments to be filed with PF13)

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Page 2 of 3

PART 5 Contact Details*

Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 13 Request to Amend Application

Before Grant

a. This form should be filed only if you are amending an application for a patent before grant. If you wish to amend the specification of a patent that has been granted, please file Patents Form 17 instead.

Pre-requisites:

b. If you are making an amendment of the description, claims, drawings or abstract, this form is to be accompanied by a copy of the amended sheet(s), with the proposed amendment clearly indicated in the following manner: − Any text, figure or other matter that are to be replaced or deleted to be struck through; and − Any replacement text, figure or other matter to be underlined.

c. If you are filing a response to written opinion, and intend to make written submissions and amend the specification of the application, they have to be filed at the same time.

d. If you are making a request under the ASEAN Patent Examination Co-operation (ASPEC) programme, please refer to the ASPEC Notice and Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents that need to be filed together with this form.

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Reason for Making the Amendment*

Reason for Making the Amendment*

(Note

:Cross only one

checkbox)

In response to the Registrar’s formalities examination adverse report

In response to a written opinion issued for an application with a date of filing before 1 July 2004

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In response to the Registrar’s notification under section 30(6) in force immediately before 14 February 2014, for an application with a date of filing on or after 1 July 2004

Voluntary amendment

PART 5 Amendments to be Made* Note:

A summary explanation of the amendments sought should be indicated in the box provided below, including the page number of the page(s) of the document you are proposing to amend. If you are making an amendment to file a Patents Form 1, this form is to be accompanied by a copy of the Patents Form 1.

Summary Explanation of the Amendments Sought

Amendment of Patents Form 1

Amendment of Description with Claim(s)

sheet(s)

Amendment of Description without

Claim(s)

sheet(s)

Amendment of Claim(s) only

sheet(s)

Amendment of Drawing(s)

sheet(s)

Amendment of Abstract sheet(s)

PART 6 ASEAN Patent Examination Co-operation (ASPEC)

ASPEC (Note

: Please cross if applicable)

ASPEC requested

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 13A Response to Written Opinion

a. This form should be filed only in response to an invitation to respond to a Written Opinion issued by the Registrar. Pre-requisites:

b. If you intend to make written submissions and amend the specification of the application as your response to the written opinion, they have to be filed at the same time.

c. If you are making an amendment of the description, claims or drawings or abstract, this form is to be accompanied by a copy of the amended sheet(s), with the proposed amendment clearly indicated in the following manner: - Any text, figure or other matter that are to be replaced or deleted to be struck through; and - Any replacement text, figure or other matter to be underlined.

d. If you are making a request under the ASEAN Patent Examination Co-operation (ASPEC) programme, please refer to the ASPEC Notice and Procedures available on IPOS's website at http://www.ipos.gov.sg for the documents that need to be filed together with this form

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Type of Response to Written Opinion*

Type of Response to Written Opinion*

(Note

:Cross only one

checkbox)

In response to a written opinion issued for a request for a search and examination report or a request for an examination report

In response to a written opinion issued for a request for a supplementary examination report

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PART 5 Amendments to be Made* Note:

A summary explanation of the amendments sought should be indicated in the box provided below, including the page number of the page(s) of the document you are proposing to amend.

A Summary Explanation of the Amendments

Sought should be Indicated in the Box

Provided*

PART 6 ASEAN Patent Examination Co-operation (ASPEC)

ASPEC (Note

: Please cross if applicable)

ASPEC requested

PART 7 Checklist* The response consists of the following number of sheets

Written Submissions in relation to the Written

Opinion

sheet(s)

Amendment or Proposed Amendment of

the Specification

sheet(s)

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 14 Payment of Fee for Grant of Patent

a. In general, where the specification of the application has been amended or corrected since the filing of the application, a specification incorporating every such amendment or correction is to accompany this form.

Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. An additional fee of $20 for each patent claim in excess of 25 patent claims is payable for patent applications having: − a date of filing on or after 01/07/2004; or − a date of filing before 01/07/2004 but the application was lodged on or after 14/02/2014

c. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Indication for applications having a date of filing on or after 1 July 2004

No. of Claims

No. of claims contained in the specification of this patent application at the time of compliance with rule 47 of the Patents Rules

PART 5 Declaration for applications lodged before 14 Feb 2014 and having a date of filing on or after 1 Jul 2004

Declaration I/ We declare that the application has satisfied the conditions referred to in sections 30(3)(b) or (c) (whichever is applicable) and 30(3)(e) of the Patents Act.

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 15 Payment of Renewal Fee

and Any Additional Fee

a. Renewal fees are payable only after a patent has been granted. Pre-requisites:.

b. This form should be filed only if you are renewing a patent that has not endorsed with licence as of right. If you wish to renew a patent which has been endorsed with licence as of right, please file Patents Form 53 instead.

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Please note that you will not be receiving any acknowledgement from the Registry upon the lodgement of this form. Kindly check the renewal application status at IP2SG portal within 2 weeks.

c. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Seeking to Renew the Patent Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Renewal*

a. Please cross the first checkbox if the patent is granted after the expiry of 45 months from the date of filing of the patent and this is the first time you are making payment of renewal fee for your patent.

Note:

b. Please indicate the anniversary of the patent for which renewal is sought, e.g. 11th. c. If this form is filed after the relevant deadline for making payment of renewal fees but within 6 months of this deadline, an

additional fee is payable on top of renewal fees. Please indicate the number of months that this form is filed late in the box provided.

Details of Renewal Payment of renewal for preceding years

from

year

to year

with month(s) payment of additional fee

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Payment of renewal for succeeding year

for

year

with month(s) payment of additional fee

Payment of balance of all renewal fees payable due to cancellation of licence of rights (via PF28)

from

year

to year

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 17 Application to Amend Specification

After Grant

a. This form should be filed only if you are amending the specification of a patent that has been granted. If you wish to amend an application for a patent before grant, please file Patents Form 13 instead.

Pre-requisites:

b. This form is to be accompanied by a copy of the amended sheet(s), with the proposed amendment clearly indicated in the following manner: - Any text, figure or other matter that are to be replaced or deleted to be struck through; and - Any replacement text, figure or other matter to be underlined.

This form may take approximately 8 – 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Reason for Making the Amendment*

Reason for Making the Amendment*

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PART 5 Amendments to be Made* Note:

A summary explanation of the amendments sought should be indicated in the box provided below, including the page number of the page(s) of the document you are proposing to amend.

Summary Explanation of the Amendments Sought

Amendment of Description with Claim(s)

sheet(s)

Amendment of Description without

Claim(s)

sheet(s)

Amendment of Claim(s) only

sheet(s)

Amendment of Drawing(s)

sheet(s)

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

I/We declare that no proceedings are pending before the Court or the Registrar in which the validity of the patent may be in issue.

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 19 Application for Restoration of Patent

a. This form is to be accompanied by a statutory declaration or affidavit and any supporting documents setting out the grounds for the application for restoration.

Pre-requisites:

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 20 Payment of Additional Fee and Renewal Fee for

Restoration of Patent

a. This form should be filed only if you have received a notification from the Registrar directing that this form be filed. Pre-requisites:

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Payment of Prescribed Additional Fee and Any Unpaid Renewal Fee* Note: Please indicate the anniversary of the patent for which renewal has not been paid, e.g. from 8 year to 9 year.

Payment of Prescribed Additional Fee and Any

Unpaid Renewal Fee*

from

year

to year

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 28 Application for Entry to be made, or for Cancellation of

Entry, in Register to Effect that Licences under Patent are to be Available as of Right

a. If you are the proprietor(s) of the patent making an application for cancellation of entry made in the register to the effect that licences under the patent are to be available as of right, please ensure that all licensee(s) under the patent have been notified of the intended cancellation and that they consent to the said cancellation.

Pre-requisites:

b. If you are not the proprietor(s) of the patent but you are making an application for cancellation of entry made in the register to the effect that licences under the patent are to be available as of right,please submit a statement setting out fully the nature of your interest and the facts relied upon.

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 7.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 The Application is Filed under the following Statutory Provision*

The Application is Filed under the following Statutory Provision

(Note: Cross only one checkbox)

Section 53 – application for entry to be made by proprietor(s) of patent

Section 54(1) – application for cancellation of entry by proprietor(s) of patent

Section 54(3) – application for cancellation of entry by any other person

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PART 6 Declaration* Note:Cross only one checkbox

Declaration (only when the Application is for

Entry to be made in the Register)

I/We declare that I am/we are not precluded by contract from granting licences under the patent.

Declaration (only when the Application for the

Cancellation of the Entry is made by the

Proprietor of the Patent)

I/We declare that there is no existing licence under the patent or that all licensees under the patent consent to the application.

Declaration (only when the Application for the

Cancellation of the Entry is made by any other

person)

A copy has been served on the other party at the same time.

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. For application and cancellation of licence of right by proprietor, the address for service in Singapore as indicated in this

box must be the same as the one on our record. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 29 Application for Settlement of Terms of Licence of Right

a. If you are the proprietor(s) of the patent, please have a draft of the licence you propose and a statement of the facts relied upon ready.

Pre-requisites:

b. If you are not the proprietor(s)of the patent, please have a draft of the licence you are seeking ready.

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Requiring the Licence or the Holder of a Licence under the Patent before the Said Entry was Made* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Type of Person Filing the Application for Settlement of Terms of a Licence of Right*

The Person Filing the Application for

Settlement of Terms of a Licence of Right is/ are

(Cross only one checkbox)

the proprietor of the patent

the person requiring the licence

the holder of a licence under the patent before the said entry was made

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 32 Reference to Registrar of Dispute as to Infringement

a. Please have a joint statement giving full particulars of the matters which are in dispute and of those which are in agreement ready.

Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Details of Proprietor/ Licensee Filing the Above Reference* Note: If there is insufficient space, please use the continuation sheet in CS 1.

Type of Person X Proprietor of Patent Exclusive Licensee of Patent

UEN/ Company Code (if applicable)

Name

Address Singapore address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is ticked, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

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Postal Code

Foreign address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Alleged by the Above Proprietor/ Licensee to have Infringed the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Reference to Registrar

Reference to Registrar We refer to the Registrar the question whether such infringement has in fact taken place. We submit herewith a joint statement giving full particulars of the matters which are in dispute and those on which we are in agreement.

PART 7 Declaration*

Declaration

By Person Filing the Form in Part 3

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 33 Application for Declaration of

Non-Infringement

a. Please have a statement setting out fully the facts relied upon as showing that section 78(1)(a) and (b) of the Patents Act have been complied with and the relief sought ready.

Pre-requisites:

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Application for Declaration of Non-Infringement* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6

Confirmation and Application for

Declaration

I/ We seek the declaration of the Registrar that the act or proposed act described fully in the accompanying statement does not, or would not constitute an infringement of the stated patent. I/ We confirm that I/ we have written to the said proprietor(s) for a written acknowledgement to the effect of the declaration claimed and have furnished him/ them with particulars in writing of the said act or proposed act; and further confirm that he has/ they have refused or failed to give any such acknowledgement.

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 34 Application for Information on Corresponding

Applications for Patent

a. This form should be filed only for an application for a which a patent has already been granted. Pre-requisites:

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Checkboxes should be marked with a cross where applicable. c. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Declaration of Interest*

Declaration of Interest of Applicant in Obtaining

the Information*

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore part need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 35 Application for Revocation of Patent

a. Please have a statement setting out fully the grounds of revocation, including the facts relied upon and the relief sought ready.

Pre-requisites:

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Application for Revocation* Note: If there is insufficient space, please use the continuation sheet CS 5.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 36 Request for Re-Examination of Patent in Response to

Direction of Registrar

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If there is insufficient space, please use the continuation sheet in CS1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 37 Entry into National Phase

a. If the international application was published under the PCT in a language other than English, an English translation of the application is to accompany this form.

Pre-requisites:

b. If you wish for the Registrar to proceed earlier with national phase, please make a request in Part 7. Where such a request is made and the PCT application has yet to be published at WIPO, a copy of the PCT application is to accompany this form.

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

International Application No.*

P C T

Singapore Application No. (if applicable)

PART 3 Details of Applicant* Note: The applicant's name and address should tally with that on WIPO's records at the time of filing this form. If different, please provide supporting documents. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

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Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

Company Profile (for Singapore incorporated

businesses only.Please cross if applicable)

Small and Medium Enterprise1

1 Small and medium-sized enterprises in Singapore will be defined as businesses with annual sales turnover of not more than $100 million or employing no more than 200 staff.

PART 4 International Filing Date*

International Filing Date* (DD/MM/YYYY)

PART 5 Earliest Declared Priority Date

Earliest Declared Priority Date (DD/MM/YYYY)

PART 6 International Publication No.

International Publication No.

W O

PART 7 Request for Early National Phase Entry

Request for Early National Phase Entry

(Note

X : Please cross if

applicable)

I/We expressly requests the Registrar to proceed earlier with the national phase of the application.

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PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent, for the purposes of this application, on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 38 Payment of Fee for Publication of Translation of

International Application and/ or any Amendment to International Application

a. This form should be filed only if an English translation of the international application or of an amendment to the international application has been filed with the Registry

Pre-requisites:

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 39 Application to Registrar for International Application to be Treated as Application under Act

Pre-requisites: a. This form should be accompanied by documents to support the request made under Part 4 of this form. b. If the application filed under the PCT is in a language other than English, an English translation of the application is to accompany this form. Estimated Time: This form may take approximately 10 - 15 minutes to complete. General: a. * denotes mandatory fields. b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents

(Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 International Application No.*

International Application No.*

P C T

PART 3 Details of Applicant*

Note: If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

Company Profile (for Singapore incorporated

businesses only.Please cross if applicable)

Small and Medium Enterprise1

1 Small and medium-sized enterprises in Singapore will be defined as businesses with annual sales turnover of not more than $100 million or employing no more than 200 staff.

PART 4 Request for Application of Section 85(3) or (4)*

Request for Application of Section 85(3) or (4)*

(Note:Cross only one box)

I/We request the Registrar to treat the said international application as an application under the Patents Act because :

The international application is deemed withdrawn or its designation of Singapore is deemed withdrawn due to :

an error or omission in an institution having functions under the Patent Co-operation Treaty; or

owing to circumstances beyond my/ our control, a

copy of my/ our application not being received by the International Bureau in time; or

Other reasons

A filing date has been refused to the mentioned international application due to an error or omission in an institution having functions under the Patent Co-operation Treaty.

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PART 5 Contact Details*

Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent, for the purposes of this application, on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 42 Payment of Additional Fee for Advertisement of

Proposed Correction

a. This form should be filed only if you have received a notification from the Registrar directing that this form be filed, and must be filed within 2 months from the date of the notification.

Pre-requisites:

This form may take approximately 5 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 44 Request for Information Relating to Patent or

Application for Patent

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the applicant(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

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Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Request*

The Information Requested by Me/ Us

from the Registrar is as Follows

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore part need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

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Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 45 PATENTS FORM 46 PATENTS FORM 47

Request for Extension of Time or Period

If a request is made under rule 108(4) in Part 5A, or rule 108(5) in Part 5B, this form is to be accompanied by a statutory declaration or affidavit setting out the grounds for the request for extension of time.

Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the applicant(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Request* A. Please complete this section if the patent application was lodged before 14/02/2014 Note:a. If rule 108(3) or 108(6) is selected, the fee payable is $200 X the total number of months of extension requested.

b. If rule 108(4) is selected, a flat fee of $200 is payable.

Request Type* (Note :Cross only one

checkbox) Request under rule 108(3)

Request under rule 108(4) or (4A)

Payment of additional fee under rule 108(6)

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Description No. of Months

Extension of Time or Period Prescribed in* Rule 18(1), 28(f), 86(8) or 86(8A) - Mention

of Inventors

Rule 38 - Filing a request for search report

Rule 43 - Filing a request for examination

report or a request for search and examination report

Rule 43 - Furnishing prescribed information

or filing a notice of intention to rely on international preliminary report on patentability

Rule 47(1) or (2) - Filing a request for

issuance of the certificate of grant

Rule 86(1) - PCT National Phase entry

Rule 86(6) - Filing an English translation of

the PCT application or of an amendment to the PCT application

Others – Please complete Annex A

B. Please complete this section if the patent application was lodged on or after 14/02/2014 Note:a. If rule 108(3)/(4) is selected, the fee payable is $200 X the number of months of extension requested..

b. If rule 108(5) is selected, the fee payable is $200 + [$200 X the total number of months of extension requested].

Request Type* (Note :Cross only one

checkbox) Request under rule 108(3) or (4)

Request under rule 108(5)

Description No. of Months

Extension of Time or Period Prescribed in*

(Note:

Only one checkbox may be crossed if a request is

made under rule 108(3) or (4))

Rule 18(1), 28(f), 86(8) or 86(8A) - Mention of Inventors

Rule 34(1A) - Responding to the Registrar's notification on non-compliance of formal requirements

Rule 38 - Filing a request for search report

Rule 43 - Filing a request for examination

report or a request for search and examination report

Rule 43 - Filing a request for supplementary

examination report

Rule 47(1) or (2) - Filing a request for

issuance of the certificate of grant

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Rule 86(1) - PCT National Phase entry

Rule 86(6) - Filing an English translation of

the PCT application or of an amendment to the PCT application

Others - Please complete Annex B

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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ANNEX A PART 5A Extension of Time or Period Prescribed in* Note: Please complete this part if "Others" is selected under Part 5 Section A.

Description No. of Months

Extension of Time or Period Prescribed in* Rule 9A(5) - Making observations or filing

evidence in relation to a request for permission to make late declaration of priority

Rule 9B(1) or 28(e) - Furnishing the

application number of a priority application

Rule 9B(4) - Furnishing priority documents

Rule 9C(1) - Furnishing translation of

priority documents

Rule 19(11) - Filing an English translation of

a document which is or appears to be a description of the invention

Rule 26(2) - Making observations and/or

filing documents to comply with date of filing requirements

Rule 26(3) - Filing a copy of the priority

application and/or its English translation

Rule 26A(4) - Furnishing the application

number of a priority application, or filing a copy of the priority application and/or its English translation

Rule 28(g) or Paragraph 1(3) of the Fourth

Schedule - Disclosure of details of deposit of culture of micro-organism

Rule 34(5) - Furnishing the application

number of a priority application, or filing a copy of the priority application and/or its English translation

Rule 53(4) - Paying of prescribed addition

fee and any unpaid renewal fee for restoration of patent

Rule 112(4) - Filing an English translation

Rule 112(5)(b) - Filing the original

verification document of an English translation

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ANNEX B PART 5B Extension of Time or Period Prescribed in* Note: Please complete this part if "Others" is selected under Part 5 Section B.

Description No. of Months

Extension of Time or Period Prescribed in* Rule 8(2) or 86(4)(b)- Filing of certificate of

international exhibition

Rule 9A(5) - Making observations or filing

evidence in relation to a request for permission to make late declaration of priority

Rule 9B(1) or 28(e) - Furnishing the

application number of a priority application

Rule 9B(4) - Furnishing priority documents

Rule 9C(1) - Furnishing translation of

priority documents

Rule 17(3) - Filing of counter-statement to

oppose mention of inventor

Rule 19(11) - Filing an English translation of

a document which is or appears to be a description of the invention

Rule 26(2) - Making observations and/or

filing documents to comply with date of filing requirements

Rule 26(3) - Filing a copy of the priority

application and/or its English translation

Rule 26A(4) - Furnishing the application

number of a priority application, or filing a copy of the priority application and/or its English translation

Rule 28(g) or Paragraph 1(3) of the Fourth

Schedule - Disclosure of details of deposit of culture of micro-organism

Rule 34(5) - Furnishing the application

number of a priority application, or filing a copy of the priority application and/or its English translation to comply with section 28(9)(b)

Rule 42(3) - Furnishing an English

translation of a document referred to a search and international search report

Rule 45(2) - Filing a request for

supplementary search report

Rule 46A(2) – Filing a request for review of

examination report, search and examination report or supplementary examination report

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Rule 46A(5) - Notice of refusal of

application for patent

Rule 51A(3) - Furnishing of additional

evidence in support of application for patent term extension

Rule 53(4) - Paying of prescribed addition

fee and any unpaid renewal fee for restoration of patent

Rule 67 - Making new application in

response to Registrar's order

Rule 68 – Filing a request for grant of a

licence to continue working new patent

Rule 84(1) - Making observations and

amendments in response to Registrar's notification

Rule 88(1) – Filing a request for the

exercise of the Registrar’s discretionary powers

Rule 112(4) - Filing an English translation

Rule 112(5)(b) - Filing the original

verification document of an English translation

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 45A Request for Extension of Periods for Search and

Examination and Fee for Grant of Patent

a. This form should be filed only for an application that was lodged before 14/02/2014 and having a date of filing on or after 01/07/2004.

Pre-requisites:

b. No fee is payable if your application is an international application that has entered national phase in Singapore

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Request

Details of Request (Note

: Please cross if applicable)

This request is for an application that is NOT an international application for a patent (Singapore) that has entered the national phase in Singapore under section 86(3). The request is accompanied by the prescribed fee.

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

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Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 48 Payment of Transmittal Fee under

Patent Co-Operation Treaty

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 International Application No.*

International Application No.*

P C T

PART 3 Details of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 4.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

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Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 3 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 49 Request for Certificate Authorising Release of Sample

of Micro-Organism

a. If the application is not published under section 27 of the Patents Act, a sample of the micro-organism will be made available only if the person(s) making the request establishes that he/she is, for the reasons established by the evidence accompanying this form, entitled to receive information and inspect documents relating to the application by virtue of section 108(4) of the Patents Act.

Pre-requisites:

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Deposit of Micro-Organism*

Name of Depository Authority*

Deposit Accession Number*

PART 6 Request Type*

Request for Registrar's Certificate Authorising

the Release of a Sample of Micro-organism*

(Note:Cross only one box)

Under Paragraph 2 of the Fourth Schedule A request under Paragraph 2 of the Fourth Schedule for a sample of the micro-organism to be made available to the person(s) making this request

Under Paragraph 3 of the Fourth Schedule A request under Paragraph 3(4) of the Fourth Schedule for a sample of the micro-organism to be made available to the following expert:

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UEN/ Company Code (if applicable)

Name

Address Singapore Address Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Undertakings by Requestor or Expert*

Undertakings by Requestor or Expert* (Note:Cross only one box)

Under Paragraph 2 of the Fourth Schedule, by the person(s) mentioned in part 4 I/We undertake for the benefit of the applicant(s)/proprietor(s) that, if a sample of the micro-organism is made available as requested – (A) not to make the culture, or any culture derived from it, available to any other person; and (B) not to use the culture, or any culture derived from it, otherwise than for experimental purposes relating to the subject-matter of the invention.

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Under Paragraph 3 of the Fourth Schedule, by the person mentioned in part 6 I/We undertake for the benefit of the applicant(s)/proprietor(s) that, if a sample of the micro-organism is made available as requested – (A) not to make the culture, or any culture derived from it, available to any other person; and (B) not to use the culture, or any culture derived from it, otherwise than for experimental purposes relating to the subject-matter of the invention.

Name

Signature

Date (DD/MM/YYYY)

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 50 Notice of Intention to Restrict Availability of Samples of

Micro-Organisms to Experts

a. This notice is considered valid only if filed before the preparations for publication under section 27 of the Patents Act have been completed.

Pre-requisites:

This form may take approximately 5 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Deposit of Micro-Organism*

Name of Depository Authority*

Deposit Accession Number*

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

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Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 52 Notice of Objection to the Release of Sample of Micro-

Organism to Expert

a. Please have the reasons for your objection ready. Pre-requisites:

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant of the Patent Application* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 53 Payment of Renewal Fee and Any Additional Fee after

Entry is Made in Register to Effect that Licences under Patent are to be Available as of Right

a. Renewal fees are payable only after a patent has been granted. Pre-requisites:

b. This form should be filed only if you are renewing a patent that has endorsed with licence as of right. If you wish to renew a patent which has not been endorsed with licence as of right, please file Patents Form 15 instead.

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Please note that you will not be receiving any acknowledgement from the Registry upon the lodgement of this form. Kindly check the renewal application status at IP2SG portal within 2 weeks.

c. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Renewal*

a. Please cross the first checkbox if the patent is granted after the expiry of 45 months from the date of filing of the patent and this is the first time you are making payment of renewal fee for your patent.

Note:

b. Please indicate the anniversary of the patent for which renewal is sought, e.g. 11th. c. If this form is filed after the relevant deadline for making payment of renewal fees but within 6 months of this deadline, an

additional fee is payable on top of renewal fees. Please indicate the number of months that this form is filed late in the box provided.

Details of Renewal* (Note: Cross the appropriate

checkbox or checkboxes.) Payment of renewal for preceding year(s)

from

year

to year

with month(s) payment of additional fee

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Payment of renewal for succeeding year

for

year

with month(s) payment of additional fee

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of renewal and/or restoration, the official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

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By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 54 Application for Extension of the Term of Patent

a. All documentary evidence which the proprietor(s) wish to rely on to support the application. Pre-requisites:

b. A ceritficate under section 36A(7) of the Patents Act for application made under section 36A(1)(c)

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Application for Extension of the Term of a Patent*

Application for Extension of the Term of a Patent*

(Note

:Cross only one

checkbox)

Application for an extension of the term of a patent under section 36A(1)(a)

Application for an extension of the term of a patent under section 36A(1)(b)

Application for an extension of the term of a patent under section 36A(1)(c)

Date Marketing Approval Obtained

(DD/MM/YYYY)

(Note

: This section should be completed if application for an extension of the term of a patent under section36A(1)(c) is sought)

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PART 5 Period of the Extension of the Term of the Patent Sought*

Indicate the Period of the Extension of the Term of the Patent

Sought*

Days

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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PATENTS RULES SINGAPORE PATENTS ACT (CHAPTER 221)

PATENTS FORM 56 Filing of Drawing(s), Description or Part of Description

a. Where documents are filed under section 26(7), or a request is made for section 26(8)(b) or 28(8)(b) not to apply, the following documents should also accompany this form:

Pre-requisites:

- A copy of the earlier relevant application referred to in Part 5 of this form; and - If the earlier relevant application is in a language other than English, an English translation of this earlier application.

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Request/ Notice to Registrar*

Request/ Notice to Registrar*

(Note

:Cross only one

checkbox)

In accordance with section 26(7)(a), I/ We enclose the description of the invention and confirm that this description for which the patent is sought is incorporated in this application by reference to the earlier relevant application referred to in section 26(1)(c)(ii)(C).

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I/ We enclose a drawing or part of the description and request

the Registrar for the below section not to apply to this application. I/We also confirm this drawing or part of the description is incorporated in this application by reference to, and is completely contained in, the earlier relevant application, as filed.

Section 26(8)(b)

Section 28(8)(b)

I/ We enclose a drawing or part of the description without making any request to the Registrar for either section 26(8)(b) or 28(8)(b) not to apply.

PART 5 Information on the Earlier Relevant Application Referred to in Part 4* Note: This Part is to be completed if documents are filed under section 26(7), or a request made for section 26(8)(b) or 28(8)(b) not to apply.

Country

Application No.

Filing Date (DD/MM/YYYY)

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

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Building

Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 57 Addition, Correction or Late Declaration of Priority

a. If you are requesting for permission to make a late declaration of priority under rule 9A(2) together with a request for a priority declaration to be added under rule 9(2) or a request for a correction of previously made priority declaration under rule 9(3), the fee for each request type is payable.

Pre-requisites:

This form may take approximately 8 - 12 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Priority Details* Indicate below the details of the priority application relevant to this declaration/request.

Country

Application No. (if applicable)

Filing Date (DD/MM/YYYY)

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PART 5 Type of Declaration or Request*

Type of Declaration or Request*

(Note

:Cross only one

checkbox)

A priority declaration under Rule 9(2)

A request under Rule 9(3) to correct a mistake in a priority declaration

A request under Rule 9A(2) for permission to make a late priority declaration

A priority declaration under Rule 9(2) and a request under Rule 9A(2) for permission to make a late priority declaration

A request under Rule 9(3) to correct a mistake in a priority declaration and a request under Rule 9A(2) for permission to make a late priority declaration

PART 6 Reason for the Failure to File the Application in Suit Within the Period Referred to in Section 17(2A)(a) Note: This Part is to be completed if in Part 5 a request is made under rule 9A(2) for permission to make a late priority declaration.

Reason (Note :Cross only one

checkbox)

Occurred in spite of due care required by the circumstances having been taken

Unintentional

Detailed Explanation of the Reason is Indicated

in this Box or in the Copy of the Evidence

Filed with this Form.

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT (CHAPTER 221) PATENTS RULES

PATENTS FORM 58 Notice of Opposition

a. Please have a statement setting out fully the facts relied upon and the relief sought ready. Pre-requisites:

b. For notice of opposition to an application to add and/ or remove inventor(s), please have the grounds of opposition ready.

This form may take approximately 6 - 9 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.*

Application No.*

PART 3 Name of Applicant/ Proprietor of the Patent* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Giving the Notice of Opposition* Note: If the person filing this request is/ are the applicant/ proprietor mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

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Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Notice of Opposition*

I/ We hereby give Notice of Opposition to

(Cross only one box)

the correction of an error, clerical error or mistake

an amendment of the specification after grant

an application to add and/ or remove inventor(s)

an application for cancellation of entry in the register as to licence of right

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondences will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM1 Request to Appoint, Change or Remove Agent

Estimated Time: This form may take approximately 2 - 7 minutes to complete. General: a. * denotes mandatory fields. b. Where the request is made to appoint, change or discharge an agent, the fees payable is based on per IP application

number. c. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). d. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. e. Please e-file CM 2 if you are amending the name and/or Singapore Address for Service of Agent

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Note: a. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number. b. International Registration No. and International Application No. are applicable to Trade Marks only. c. All the numbers listed below must belong to the same applicant/proprietor indicated in Part 3 and of the same IP type (i.e.

Trade Marks, Designs or Patents only). Please use a separate form if otherwise. d. If there is insufficient space, please use the continuation sheet CS 3.

Application No./ International

Registration No./ International Application

No.*

PART 3 Person for whom an Agent is to be Appointed, Changed or Removed*

Note: If there is insufficient space, please use the continuation sheet in CS 4.

(Note:Cross only one checkbox)

Applicant/ Proprietor Others

UEN/ Company Code (if applicable)

Name

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Type of Request*

Please cross the relevant box to indicate the type of request. Note that separate forms should be used for different requests

Type of Request* (Note:Cross only one checkbox) Request to appoint or change an agent.

(Please fill up Part 5, 8-10)

Request to remove an agent on record.

(Please fill up Part 5-10)

PART 5 Matter on which the Agent or Address for Service is Authorised for Note: (i)For all matters on behalf of the Respondent for revocation, invalidation, rectification or opposition, please select <Others> (ii)** If registration/grant has been renewed at least once, this selection will not update the address for service on renewal matters. To update the address for service on renewal matters as well as the Master address for service, please select <Renewal and all matters relating to registration/ grant> option.

Matter on which the Agent or Address for

Service is Authorised for (Note:Cross only one

checkbox)

For all matters relating to the application, registration/ grant**, except those matters expressly excluded

Renewal and all matters relating to registration/ grant

Renewal

For all matters relating to the licence (Specify Licence Reference No.)

For all matters relating to the security interest (Specify Security Interest Reference No.)

For all matters on behalf of the Initiator for revocation, invalidation or rectification or opposition (Specify Case No.)

Form MM2(E) (for Trade Marks)

Other MM Forms except MM1, MM2, MM3, MM16, MM17 and MM18 (for Trade Marks)

Others (Please state the specific transaction)

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PART 6 Details of Agent on Record to be Removed Note: For removal of agent authorised for all matters, please complete Part 6A. For removal of agent authorised for other matters, please complete Part 6B.

PART 6A Agent Authorised for All Matters

UEN/ Company Code (if applicable)

Name

PART 6B Agent Authorised for Other Matters

UEN/ Company Code (if applicable)

Name

PART 7 New Address for Service*

Note: a. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 8 Effective Date for Change

Note: Any effective date entered must not be more than 1 month from the date of request. If no effective date is entered, the above changes will take effect immediately.

Effective Date for Change

(DD/MM/YYYY)

PART 9 Contact Details*

Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 10 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM3 Request to Surrender Registered Design Request to Surrender Patent

Request to Cancel or Partially Cancel Registered Mark Pre-requisites:a. If there is/are person(s) with interest in the intellectual property, please ensure that they have been notified of the intended surrender/cancellation three months prior to this form being filed, and they have no objection to the surrender/cancellation.

b. For Patents and Designs, if an action before the court is pending, full particulars of such action must be furnished in writing on an attached sheet.

This form may take approximately 2 - 7 minutes to complete. Estimated Time:

a. * denotes mandatory fields. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patents Application Number / Trade Marks Number.

Application No.*

Article Name (for Designs only)

Trade Marks Full Cancellation

(Please cross here)

For Trade Marks Partial Cancellation

Total No. of Class Affected by this

Cancellation

Note: For partial cancellation, please fill in details in Part 4 of this form.

PART 3 Name of Proprietor/ Registered Owner* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Partial Cancellation (For Trade Marks Partial Cancellation Only) Note: If there is insufficient space, please use the continuation sheet in CS 7.

Class No.of Cancellation of Class

Class No.of Cancellation of Specification(s) and

Goods/Services to Remain

Class No Goods/Service to Remain

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration by Proprietor/ Registered Owner Concerning Interested Parties*

Declaration by Proprietor/ Registered

Owner Concerning Interested Parties

(Note:

(i) Please select one of the following

Cross the appropriate checkbox or checkboxes.)

I/ We confirm that there are no interested parties in the intellectual property

I/ We confirm that those with an interest in the intellectual property have been notified of the intended surrender/cancellation three months prior to this form being filed, and they have no objection to the surrender/cancellation.

(ii) I/We declare that no action is pending before the Court for infringement or for revocation of the intellectual property.

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM4 Request for Correction of Error

a. Where the correction relates to specification of a patent or an application for a patent, the page(s) of specification with proposed correction is to be attached to this form for submission.

Pre-requisites:

b. To provide supporting document to justify the correction.

This form may take approximately 2 - 7 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. If you are not the agent on record for the form to be corrected, please file CM1. c. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). d. This form is not applicable to correct errors made in all hearings and mediation related matters and all WIPO forms. e. The fees payable is based on per form. f. If the correction relates to more than one application number, the correction must be the same for all the application

numbers. g. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001. h. For Trade Marks, attention is drawn to rule 83A of the Trade Mark Rules. i. For Designs, attention is drawn to rules 33 and 65 of the Registered Designs Rules.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.* Note:a. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

b. International Registration No. and International Application No. are applicable to Trade Marks only. c. You may indicate more than one application number if the option "Correction of Form" in Part 5 is selected and that form

contained more than one application number. d. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 3. e. If there is insufficient space, please use the continuation sheet CS 3.

Application No./ International Application

No./ International Registration No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Correction Type*

Correction Type* (Note: Cross one checkbox

only) Correction of Form Lodged

Form No.

Form Lodgement Date (DD/MM/YYYY)

Correction of Register of Patents

Correction of Specification of a Patent or of an Application for a Patent

Correction of any other documents filed in connection with the Patent or an Application for a Patent

PART 6 Details of Correction* Note:For Patents, where the request for correction relates to a specification, please indicate the page number and the document of the replacement text/figure and the text/figure to be replaced. Please also explain why the correction sought is obvious in the sense that it is immediately evident that nothing else would have been intended than what is offered as the correction.

For Trade Marks, please state the affected class if the correction does not apply to all classes in the application.

Details of Correction*

For Correction of Specification of a Patent or of an Application for a Patent

Correction of Description with Claims

sheet(s)

Correction of Description without Claims

sheet(s)

Correction of Claims only

sheet(s)

Correction of Drawings sheet(s)

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PART 7 Reasons for Correction*

Reasons for Correction* (please provide supporting

documents, if applicable)

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM6 Application to Register, Amend or Terminate Licence

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a licence, the licence reference no.. ii. Signature by licensor (or his representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. This form may be used for a licence between the same parties relating to one or more IP application or registration

provided that the scope of the licence is the same. d. Trade Marks: This form is applicable for holders of International Registrations who wish to record, amend or terminate a

licence with IPOS. e. Fee for this form is payable on a per IP number basis f. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in only Parts 3 – 14)

Amendment (Please fill in only Parts 3 -4, 10 – 14)

Licence Reference No.

Termination (Please fill in only Parts 3-4, 10 – 14)

Licence Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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PART 4 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Full or Partial Goods/ Services (for Trade Marks only)

Is the Licence to be Recorded against All

Goods and/ or Services Covered by the

Application and/ or Registration in Part 3?

X Yes No

If “No”, provide details of the trade mark no. , class no. and goods and/ or services the licence is to be recorded against at the Annex A. Note: The licence application may only be for goods/ services already covered in the trade mark application/registration, not for those falling outside.

PART 6 Details of Licensor* Note: If the licensor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Licensee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 11.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 8 Licence Type* Note: Exclusive licence means a licence conferring on the licensee, to the exclusion of all other persons (including the licensor), any right in respect of the intellectual property.

Licence Type* (Note: Cross one box only)

Exclusive Licence

Non-exclusive Licence

PART 9 Licence Date*

Start Date (DD/MM/YYYY)

End Date (if any)

(DD/MM/YYYY)

PART 10 Details of Licence to be Registered, Amended or Terminated*

Details of Licence to be Registered, Amended or

Terminated* (e.g. details of the trade mark

no., class no. and goods/ services in the registration of a

Trade Mark licence)

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PART 11 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 7 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the licence, including this application to register,

amend or terminate a licence.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 12 Validation/ Supporting Documents*

Validation/ Supporting Documents*

(Note

: Cross only one checkbox)

This application is validated and signed by or on behalf of the licensor. (If this checkbox is selected, please fill in Part 13 of this form)

A copy of the documentary evidence establishing the transaction is attached.

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PART 13 Signature for Authorisation to Register/ Amend/ Terminate a Licence Note: Fill in this part only if first checkbox of Part 12 of this form is selected. Provide below the signature for the authorisation to register/ amend/ terminate a licence.

Name

Signature of Licensor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 14 Declaration*

Declaration (** delete where necessary)

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above on behalf of the licensor/ licensee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the licensor/licensee**

ii. The information furnished above on behalf of the licensor/licensee** is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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ANNEX A Partial Licence Only Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

The following goods/ services only

Trade Mark No.

Class No.

Specification of Goods/ Services

Class No.

Specification of Goods/ Services

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM7 Application to Register, Amend or Terminate Security Interest

a. You will need the following information to complete the form: Pre-requisites:

i. Where the application relates to amendment/ termination of a security interest, the security reference no.. ii. Signature by grantor (or their representative if so authorised) or a copy of the documentary evidence establishing the

transaction.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. Trade Marks: This form is applicable for a holder of an International Registration (IR) who wishes to record, amend or

terminate a security interest with IPOS. In the event that the security interest extends beyond the IR designating Singapore and affects other countries designated in the IR, the holder may wish to lodge Form MM19(E) directly with WIPO to record it.

d. Fee for this form is payable on a per IP number basis. e. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Transaction Type*

Transaction Type* (Note

: Cross one checkbox

only. Separate forms should be used for different transaction

type)

Registration (Please fill in Parts 3 - 11)

Amendment (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

Termination (Please fill in Parts 3 - 4, 7 - 11)

Security Interest Reference No.

PART 3 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 4. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

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PART 4 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Details of Grantor* Note: If the grantor(s) is/are the applicant(s)/ proprietor(s) mentioned in part 4 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

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State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 6 Details of Grantee* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 8.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

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Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Details of Security Interest to be Registered, Amended or Terminated*

Details of Security Interest to be

Registered, Amended or Terminated*

(e.g. instrument under which security interest is derived,

effective date, fixed charge or floating charge )

PART 8 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 6 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below is effective for all matters in respect of the security interest, including this application to

register, amend or terminate a security interest.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

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Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 9 Validation/Supporting Documents*

Validation/Supporting Documents*

(Note:Cross only one checkbox)

This application is validated and signed by or on behalf of the grantor. (If this checkbox is selected, please fill in Part 10 of this form)

A copy of the documentary evidence establishing the transaction is attached.

PART 10 Grantor's Signature for Authorisation to Register/ Amend/ Terminate a Grant of Security Interest Note: Fill in this part only if first checkbox of Part 9 is selected.

Name

Signature of Grantor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

PART 11 Declaration*

Declaration (** delete where necessary)

By Person Filing the Application

I, the undersigned, do hereby declare that the information furnished above on behalf of the grantor/grantee** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the grantor/grantee**

ii. The information furnished above on behalf of the grantor/grantee** is true to the best of the person(s)' knowledge.

Name

Signature

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Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM8 Application to Register Transfer of Ownership

a. Signature by all parties (or their representative if so authorised) or a copy of the documentary evidence establishing the transaction.

Pre-requisites:

This form may take approximately 4 - 10 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. Please file one form for each IP type (i.e. only Trade Marks, Designs or Patents). c. Trade Marks: For an international registration designating Singapore, use WIPO form MM5(E) instead of this form. d. Fee for this form is payable on a per IP number basis. e. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Notea. Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

:

b. All the numbers listed below must belong to the same applicant/ proprietor indicated in Part 3. c. If there is insufficient space, please use the continuation sheet CS 3.

Application No.*

PART 3 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Full or Partial Transfer (for Trade Marks only) Note : If "Partial", provide details of the trade mark no. , class no. and goods and/ or services the transfer is to be recorded against at Annex A. The transfer application may only be for goods/ services already covered in the trade mark application/ registration, not for those falling outside.

Full or Partial Transfer (Note: Cross one checkbox

only.)

Full

Partial

PART 5 Details of Current Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 6 Details of Subsequent Applicant/ Proprietor* Note (ii) Partial Transfer (Trade Marks) : Please ignore this portion (i.e. Part 6) and fill up the corresponding boxes (i.e. Parts

1 and 2) of the Annex A instead.

: (i) If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

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Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 7 Date of Transfer of Ownership*

Date of Transfer of Ownership*

(DD/MM/YYYY)

PART 8 Other Details

Details of Transfer of Ownership to be

Registered (e.g. Type of Transfer,

Percentage/ Extent of Interest being Transferred)

PART 9 Contact Details*

a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

Note:

b. The address for service in Singapore need not be filled up if the person's address in Part 6 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below will be substituted as the contact details for the subsequent applicant/ proprietor for all

matters. If you are representing the subsequent applicant/ proprietor for transfer of ownership only and not for all other matter, please furnish the contact details for all other matters in Annex B.

Authorised Agent a) For all matters including transfer of ownership relating to the application/registration/ grant

b) For Transfer of Ownership only.

Please complete this part (for transfer of ownership agent details) and Annex B (for all other matters)

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

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Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 10 Validation/ Supporting Documents*

Validation/ Supporting Documents*

(Note: Cross only one checkbox)

This application is validated and signed by or on behalf of all relevant parties. (If this checkbox is selected, please fill in Part 11. For partial transfer (Trade Marks), please fill in Part 11A and Annex A).

A copy of the documentary evidence establishing the transaction is attached.

PART 11 Signature for Authorising the Transfer of Ownership Note: Fill in this part only if first checkbox of Part 10 is selected.

11A. Name

Signature of Current Applicant/ Proprietor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

Note: Partial transfer (Trade Marks) - Please ignore this portion (i.e. Part 11B) and fill up the corresponding boxes (i.e. Part 3) of Annex A instead.

11B. Name

Signature of Subsequent Applicant/ Proprietor (or his representative if so

authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

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PART 12 Declaration*

Declaration (** delete where necessary)

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above on behalf of the current applicant/proprietor/ subsequent applicant/proprietor** is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the current applicant/proprietor/ subsequent applicant/proprietor**.

ii. The information furnished above on behalf of the current applicant/proprietor/ subsequent applicant/proprietor** is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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ANNEX A Continuation Sheet for Part 6 (for Trade Marks Partial Transfer of Ownership Only) PART 1 Details to be Recorded of Subsequent Applicant/ Proprietor 1 Note

(a) Current registered proprietor/ applicant in a situation where current applicant/ proprietor retains ownership of trademark in relation to part of the goods/ services/ rights; or

: (1) Subsequent Applicant/ Proprietor 1 here refers to:

(b) One of the subsequent applicant/ proprietors where current applicant/ proprietor has divested all his rights in the trademark to different parties and does not retain any ownership of the trademark.

(2) If Subsequent Applicant/ Proprietor 1 is current applicant/ proprietor, need not fill in this portion.

UEN/ Company Code (if applicable)

Name

Address Singapore Address This Singapore address is to be used as the address for

service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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ANNEX A PART 1A Details of Goods/ Services/ Rights to be transferred to/ retained by Subsequent Applicant/ Proprietor 1 Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

Description of Rights Transferred

(optional)

The following goods/ services/ rights only

Trade Mark No.

Class No.

Specification of Goods/ Services/ Rights

Class No.

Specification of Goods/ Services/ Rights

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ANNEX A PART 2 Details to be Recorded of Subsequent Applicant/ Proprietor 2 Note: Where there are more than 2 subsequent applicant/ proprietors, please provide the corresponding particulars for all the other subsequent applicant/ proprietors in an attached sheet.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 9.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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ANNEX A PART 2A Details of Goods/ Services/ Rights to be transferred to/ retained by Subsequent Applicant/ Proprietor 2 Note: If the space provided is insufficient, please continue on separate sheets.

All goods/ services claimed in the following trade mark no. and class

Trade Mark No.

Class No.

Trade Mark No.

Class No.

Description of Rights Transferred

(optional)

The following goods/ services/ rights only

Trade Mark No.

Class No.

Specification of Goods/ Services/ Rights

Class No.

Specification of Goods/ Services/ Rights

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ANNEX A PART 3 Signature for Authorising the Transfer of Ownership

3A. Name

Signature of Subsequent Applicant/ Proprietor 1

(or his representative if so authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

3B. Name

Signature of Subsequent Applicant/ Proprietor 2

(or his representative if so authorised)

Official Capacity of Signatory

Date (DD/MM/YYYY)

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ANNEX B Contact Details*

a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent name" and "Address for Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

Note:

b. Fill this part ONLY if Part 9 option (b) is selected. Leave this Part BLANK if Part 9 option (a) is selected, as person's address in Part 9 will be used as address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box. d. The information provided below will be substituted as the contact details for the subsequent applicant/ proprietor for all

matter, except transfer of ownership.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person

Direct Telephone No.

Email Address

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM9 Request for Withdrawal of Application

This form may take approximately 3 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patent Application Number/ Trade Marks Number. International Application No. is applicable to Trade Marks only.

Application No./ International Application

No.*

Class No. (for Trade Marks only)

PART 3 Name of Applicant* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

c. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 5 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No.of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 221 / 266)

PATENT RULES / REGISTERED DESIGNS RULES

FORM CM10 Request for File Inspection

This form may take approximately 3-5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patents Application Number.

Application No.

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If the person(s) filing this request is/are the applicant/proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

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Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM11 Application to Record Order of Court

a. A copy of the Order of Court is required. Pre-requisites:

b. Where the Order of Court relates to amendment of patent specification, a specification as amended is required. A copy of the patents specification with the proposed correction indicated may also be submitted with the form.

This form may take approximately 4 - 8 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patent Application Number/ Trade Marks Number.

Application No.*

Class No. (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note : If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* NoteIf there is insufficient space, please use the continuation sheet CS 1.

: If the person filing this request is/ are the proprietor mentioned in part 3 above, this part is to be left empty.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 7.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Date of Order*

Date of Commencement of Proceedings in the

Court* (DD/MM/YYYY)

Date of Order of Court*

(DD/MM/YYYY)

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PART 6 Details of Order of Court*

Details of Order of Court*

(Note

: Cross only one checkbox)

Transferring the IP or any right in or under it to any person / That an application should proceed in the name of any person

Allowing the proprietor of the IP to amend the Patents specification/ Trade Mark specification of goods/ services or mark image/ Designs images

Revoking the IP

Others, such as an entry of a note of certificate of validity (Please Specify below)

Please Provide Details and Attach a Copy of the

Order of Court*

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

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Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM CM12 Request for Certified Copy of Entry in Register or Certified Extract from Register/

Request for Certified Document Relating to Patent or Application for Patent

This form may take approximately 9 - 13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General:

b. The fee for this form is payable on a per certificate basis. c. If you are not the applicant, registered proprietor or agent of the trade mark/ designs on our record, the Registrar may

request for evidence to show that you have an interest in the entry, matter or thing before issuance of the certificate. d. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the

Patents (Patent Agents) Rules 2001.

PART 1 Reference

Applicant/ Agent Reference

PART 2 Application No.* Note: Application number refers to Designs Number / Patents Application Number / Trade Marks Number. International Application Number is applicable to Patents only.

Application No.

International Application No. (if applicable)

P C T

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing the Request* Note: If the person(s) filing this request is/are the applicant/proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 7.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Nature of Request*

Nature of Request* (Note

For Designs only :Cross only one

checkbox) Certified Copy from the Register

For Trade Marks only

Certified copy of the application as it was applied for

Certified copy of the application or registration as it is now

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Certified extract of any other entry in the Register: (list the category of information from the Register which you require, e.g. licence details, assignment details, security interest etc.) as from (DD/MM/YYYY) to (DD/MM/YYYY)

Start Date (DD/MM/YYYY)

End Date (DD/MM/YYYY)

For Patents only

Certificate in respect of a patents priority document under Rule 17.1(b) of the Regulations under the Patents Co-operation Treaty

Certified copy of the patents international application under Rule 118

Certified copy or extract of the following:

PART 6 No. of Copies*

No. of Copies Required*

PART 7 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

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Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

PART 9 Other Information (for Trade Marks only) Certified extracts of the IPOS Register of Trade Marks pertaining to an international registration may not necessary tally with the International Register maintained by the International Bureau of the WIPO due to a possible time lapse in updating of their respective registers by the WIPO and IPOS. A registered proprietor may apply directly to the International Bureau of the WIPO for certified extracts from the International Register.

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC1 Notice of Attendance at Hearing

a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Pre-requisites:

This form may take approximately 1 – 4 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. The fee for Trade Marks is payable on a per class basis.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for Attendance* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Reason for Hearing

Case Type

PART 7 Attendee Type

Party Name

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If 3rd Party, Name of 3rd Party

PART 8 Hearing Details Note: (2) - Time

(1) - The relevant party to this action, for example, the opponent

(3) - Date, ie DD/MM/YYYY (4) - Agent Name

I/ We, the (1) in the matter indicated at Part 6 above,

confirm that the hearing before the Registrar arranged for (2) hours on

(3) will be attended by me/ us or by my/ our agent

(4)

PART 9 Attachments

Please attach any supporting documents.

PART 10 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC2 Request to Extract Registrar's Certificate of Taxation

a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Pre-requisites:

This form may take approximately 1 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. The fee for Trade Marks is payable on a per class basis.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for Certificate of Taxation* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (Mandatory for USA

corporations)

Country of Residency (Mandatory for Individuals)

Sole Proprietor or Partners' Name

(if Sole Proprietorship or Partnership)

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PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 6 Attachments

Please attach any supporting documents.

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PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC3 Request for Extension of Time

Please have a copy of the notice and each written consent, if any, ready. For details relating to the notice and written consent, please refer to the Trade Mark Rules, Patents Rules and Registered Designs Rules respectively.

Pre-requisites:

This form may take approximately 1 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. Please note that there is no fee payable for an extension of time for the first 6 months from the publication date/applicable due date.

c. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

d. The fee for Trade Marks is payable on a per class basis

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. (for Trade Marks only)

Total No. of Classes (for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 4 Details of Person Filing this Request for an Extension of Time* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (Mandatory for USA

corporations)

Country of Residency (Mandatory for Individuals)

Sole Proprietor or Partners' Name

(if Sole Proprietorship or Partnership)

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PART 5 Extension of Time Request Details*

Applicable Due Date* (DD/MM/YYYY)

No. of prior extension of time request filed*

Is this the first request for an extension of time

for the relevant matter for which an extension is

sought?*

Yes No

Duration of extension requested for:*

Weeks or

Months

(

Extension of Time in Relation to:*

Note

: Cross only one checkbox)

Counter-Statement

Evidence

Taxation Matters

Others

Reason for Extension of Time Request*

PART 6 Contact Details* Note: a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

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Representative or C/O

Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Attachments

Please attach all supporting documents.

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Indicate if applicable.

However, for a request for an extension of time to file counter

statement/statement, please note that it is mandatory that consent is either obtained or

sought

Consent of the other party to the proceeding has been sought.

Consent of the other party to the proceeding has been obtained.

Name

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Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC4 Request for Ex Parte Hearing

a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Pre-requisites:

This form may take approximately 1 - 5 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person filing this Request for Hearing* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/ Company Code (if applicable)

Name

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Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

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PART 5 Request Details* Note : Please briefly describe the subject matter and/ or issues to be brought before the Registrar.

I/ We Hereby Request a Hearing Before the

Registrar in Relation to the Above Application in

Respect of*:

PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

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Email Address (if applicable)

PART 7 Attachments

Please attach any supporting documents.

PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC5 Request for Grounds of Decision for Ex Parte Hearing

a. If you intend to attach any documents to this application, please have a copy of the said documents ready. Pre-requisites:

This form may take approximately 1 - 4 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Filing this Request for Grounds of Decision* Note: If the person(s) filing this request is/are the proprietor(s) mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet CS 1.

UEN/Company Code (if applicable)

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Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 6.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Hearing Information*

Date of Hearing* (DD/MM/YYYY)

Date of Registrar's Decision*

(DD/MM/YYYY)

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PART 6 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box, and must be the same as the one on our record.

d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore Block/ House

No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

PART 7 Attachments

Please attach any supporting documents.

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PART 8 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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SINGAPORE TRADE MARKS ACT / PATENTS ACT / REGISTERED DESIGNS ACT (CHAPTER 332 / 221 / 266)

TRADE MARKS RULES / PATENT RULES / REGISTERED DESIGNS RULES

FORM HC6 Counter statement

a. Please have a copy of the statement with details of Pre-requisites:

(i) the grounds on which you rely on to support your application/ registration/ amendment/ alteration ready.

(ii) Please have a copy of the statement with details of any allegations in the notice of opposition/ application for revocation / declaration of invalidity/ rectification that you are admitting ready.

For Trade Marks

(iii) Please use one Form HC6 for every Form TM11 received. (iv) If the Form HC6 relates to an International Registration Designating Singapore or a Protected International Trade Mark (Singapore), the international registration number must be given, in addition to the Application No., the Case No. and the Class No. (v) The fee for Trade Marks is payable on a per class basis. (vi) For revocations under the ground of non-use (section 22(1)(a) and/or section 22(1)(b) of the Trade Marks Act), if filing any evidence of use with this Form HC6, please do so by statutory declaration.

(vii) Please have a copy of the statement with details of any allegations in the application for revocation that you are admitting ready.

For Designs

(viii) if the Form HC6 is made in accordance with an application for revocation of a Patent, please have in addition, an amendment of the specification of the Patent, if any ready.

For Patents

This form may take approximately 9-13 minutes to complete. Estimated Time:

a. * denotes mandatory field. General

b. For Patents, attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.

c. If the declaration "A copy has been served on the other party at the same time" is not selected, the document will not be taken as filed.

PART 1 Reference

Applicant/ Agent Reference

IPOS Reference (if applicable)

PART 2 Application No.*

Application No.*

International Registration No.

(for Trade Marks only)

Case No.*

Class No. this Counter-Statement relates to

(for Trade Marks only)

Total No. of Classes this Counter-Statement

relates to (for Trade Marks only)

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PART 3 Name of Applicant/ Proprietor* Note: If there is insufficient space, please use the continuation sheet in CS 4.

UEN/ Company Code (if applicable)

Name

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 4 Details of Person Seeking to File the Counter-Statement* Note: If the person filing this request is/ are the applicant/ proprietor mentioned in part 3 above, this part is to be left empty. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form. (Note

: If this is crossed, it is not necessary to fill up the address for service in Singapore in part 5.)

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

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Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

PART 5 Contact Details* Notea. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address for

Service in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field “Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.

:

b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address for service in Singapore.

c. For the purpose of this proceeding, official correspondence will be sent to the address for service in Singapore as indicated in this box.

Agent UEN/ Company Code

Agent Name

Representative or C/O Name

Address for Service in Singapore

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Contact Person (if applicable)

Direct Telephone No. (if applicable)

Email Address (if applicable)

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PART 6 Attachments*

Please provide the following information on a separate sheet of paper:

(a) Details of the grounds upon which the applicant/ proprietor** of the trade mark/ design/ patent relies to support the application/ registration/ amendment/ alteration**

(b) Details of any allegations in the notice of opposition/ application for revocation/ declaration of invalidity/ rectification** that the applicant/ proprietor** is admitting

(** delete where appropriate)

For Trade Marks, for revocations under the ground of non-use (section 22(1)(a) and/or section 22(1)(b) of the Trade Marks Act), if filing any evidence of use with this Form HC6, please do so by way of a statutory declaration.

PART 7 Declaration*

Declaration

By Person Filing the Form

I, the undersigned, do hereby declare that the information furnished above is true to the best of my knowledge.

By Agent

I, the undersigned, do hereby declare that :

i. I have been duly authorised to act as an agent on behalf of the person(s) filing this form.

ii. The information furnished above on behalf of the person(s) filing this form is true to the best of the person(s)' knowledge.

A copy has been served on the other party at the same time.

Name

Signature

Date (DD/MM/YYYY)

No. of Extra Sheets Attached to this Form

sheet(s)

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS1 CONTINUATION SHEET 1

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 2 Details of Person/ Requestor/ Applicant/ Proprietor/ Registered Owner/ Holder Licensor/ Licensee/ Grantor/ Opponent

UEN/ Company Code (if applicable)

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this application.

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality or Country of Incorporation*

State of Incorporation (mandatory for USA

corporations)

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Country of Residency (mandatory for individuals)

Sole Proprietor or Partners' Name

(if sole proprietorship or partnership)

Company Profile (for Singapore incorporated

businesses only.Please cross if applicable)

Small and Medium Enterprise1

1 Small and medium-sized enterprises in Singapore will be defined as businesses with annual sales turnover of not more than $100 million or employing no more than 200 staff.

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS2 CONTINUATION SHEET 2

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 2 Priority

A. Country

Application Number

Date (DD/MM/YYYY)

B. Country

Application Number

Date (DD/MM/YYYY)

C. Country

Application Number

Date (DD/MM/YYYY)

D. Country

Application Number

Date (DD/MM/YYYY)

E. Country

Application Number

Date (DD/MM/YYYY)

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS3 CONTINUATION SHEET 3

PART 1

Continuation Sheet to Part

of Form

PART 2 Application Numbers

Application Number(s)/ International Application

Number(s)/ International

Registration Number(s)

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS4 CONTINUATION SHEET 4

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 2 Name of Applicant/ Proprietor/ Registered Owner/ Holder

UEN/Company Code (if applicable)

Name

Sole Proprietor or Partners' Name(s)

(if sole proprietorship or partnership)

UEN/Company Code (if applicable)

Name

Sole Proprietor or Partners' Name(s)

(if sole proprietorship or partnership)

UEN/Company Code (if applicable)

Name

Sole Proprietor or Partners' Name(s)

(if sole proprietorship or partnership)

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS5 CONTINUATION SHEET 5

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 2 Details of Inventor*

Name

Address Singapore Address

This Singapore address is to be used as the address for service for the purposes of this form.

Block/ House No.

Street Name

Level - Unit

-

Building Name

Postal Code

Foreign Address

Line 1

Line 2

Line 3

Nationality*

State of Residency (mandatory for USA)

Country of Permanent Residence*

(mandatory for individuals)

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The Above Inventor was Resident in Singapore at

Any Time during the Period of Invention?

Yes No

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS6 CONTINUATION SHEET 6

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 5 International Patent Classification (IPC)

International Patent Classification (IPC)

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INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

CS7 CONTINUATION SHEET 7

PART 1

Continuation Sheet to Part

of Form

Application Number (if any)

PART 4 Details of Partial Cancellation (For Trade Marks Partial Cancellation Only)

Class No.of Cancellation of Class

Class No.of Cancellation of Specification(s) and

Goods/Services to Remain

Class No Goods/Service to Remain