────────────────────────┬───────────
Utility model │ (1)
⑶ │
Name │
┬┬┤┤┤ (utility model)
(4)│├'s surname—
Set or name │
├ ├ ┤ ┤ ┤ ┤ ┤ ┤ ├ ├ ┤ ┤ ┤ ┤ ├ ┤ ┤ ┤ ┤ ┤ ┤ ┤ ┤ ┤ ┤ 95
Person │ Address │
──┼─────────────────────┴───────────
5] Name or name message
├─────────────────────────────────
Postal administration
Application address
Please code.
People-
Nationality or habitual residence or business office of the headquarters
│ Name of the country where the country is located
├─────────────────────────────────
│ Representative name
──┼─────────────────────────────────
[6] Name and address
Specialize in ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├ ├.
The location of the agency given by the patent office
On behalf of │ □□□□□□□□□□□
Management organization code postal management code
Machine ├-
Structure │ Agent Name Registration Number
──┴─────────────────────────────────
⑺
□ It is exhibited for the first time at an international exhibition hosted or recognized by the government of China □ Request for fee reduction.
□ It has been published for the first time at the designated academic conference or technical conference.
──────────────────┬─────────────────
(8) List of application documents │ (9) List of additional documents
1. Every page of the request →□□ power of attorney □ does not lose novelty.
2. Each page of supporting documents for the claim.
3. Each page of the specification) □□□ Claim priority statement □
4. Each page of the attached drawings in the instruction manual
5. Description abstract, each page, priority certification materials, and
6. Attached drawings, each page
────────────┬─────┴───────┬─────────
Designers other than the above, applicants other than the above, applicants or agencies.
sign
│ │
Year, month and day
────────────┴─────────────┴─────────
explain
(1) To apply for a patent for utility model, a request for a patent for utility model, specifications and claims shall be submitted.
Application documents such as books, attached drawings, abstract of instructions, attached drawings, etc.
(2) The application documents are in duplicate (one original and one copy). Photocopying is allowed, but the applicant or agent
The signature of the agency shall not be copied.
(3) This form must be filled in Chinese. If there is no unified Chinese translation civilization for foreigners' names and place names, it shall be indicated.
Original text.
(4) The "□" in the table is used by the person filling in the form when filling in the optional items. If there is any situation described after the box,
You should tick "√" in the box.
(5) The first (1) column and the second (2) column of this form shall be filled in by the Patent Office.
(6) The "name of utility model" in column (3) of this table should be concise and reflect the category of utility model. each
The names of the utility models in the documents shall be consistent.
(7) If the applicant is an organization, the full name of the organization shall be used. Where the applicant is a unit and has not entrusted an agent,
The unit shall designate a representative contact person, and fill in the "representative name" in column (5); More than two units * * *
If there is an application, a unit shall be elected as the representative of all applicants through consultation, and a representative shall be appointed in the unit.
Contact person, fill in column (5) after "name or name" and "representative name" respectively, where the applicant entrusts an agent.
Person, the "representative name" in column 5] need not be filled in.
(8) If there are multiple designers and applicants, only one should be filled in column (1) and column (5) of this form, and the rest should be filled in separately.
⑽, ⑾ column is not filled. Column ⑿ of this form shall be signed or sealed by the applicant or agency in column ⒂ or Ω.
Chapter.
(9) The registration number of the agent in column [6] of this form refers to the registration number of the agent in China Patent Office. Unexplained patent
The person registered by this bureau is not qualified as an agent. An agency shall not appoint more than two agents.
(10) The mailing address shall be detailed, accurate and in line with the provisions of the Convention, subject to prompt delivery.
(1 1) If all columns in this form cannot be filled in, you can attach a blank piece of paper with the same size and quality as this form for further writing.
When continuing to write, you should indicate the serial number.
(12) If an individual has difficulty in applying for patent payment and requests deferred payment, a mark shall be made in the first column of this form.
Remember. If the applicant does not mark the fee waiver request in the request and applies for the fee waiver request in the future,
The application fee will not be delayed. If there are two or more applicants, the Patent Office will not approve the request for fee reduction in principle.