1. Power of Attorney / Authorization of Agent

2. Title of Invention (must be short and precise)

3. Name of Applicant (s)

4. Full address, telephone and fax numbers

5. Nationality

6. Country of residence or principal place of business

7. Whether the Inventor is the applicant

8. Where the Inventor is not the applicant:

(a) name of creator
(b) address of creator
(c) statement justifying the applicant's right

9. If the application is a divisions application. In this case whether the benefit of the filing date or priority date of the initial application is claimed in as much as the subject matter of the present application is contained in the initial application. The application number and date of filing of the initial application

10. Where disclosures are to be disregarded for prior art purposes (disclosure occurred not more than one year before the filing date or priority date of the present application) indication of whether the disclosure occurred:

(a) by reason or in consequence of acts of the applicant or his predecessor in title
(b) by reason of an abuse committed by a third party with regard to the rights of the applicant or his predecessor in title)

11. If there is priority declaration

(a) whether one or more earlier application is claimed
(b) the country of the earlier application
(c) if the earlier application is an earlier or regional application, the office with which and the countries for which it was filed
(d) filing date
(e) application number
(f) the certified copy of the earlier application
(g) the English translation of the earlier application

12. Description, Claim, Abstract, Drawing in accordance with Parts 1 and 2 of the Patents Rules.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.