1. This form should be filled in Chinese, handwritten in black, printed or printed in duplicate.
Two, the first column of this form should fill in the patent number to give up the patent right, and its content should be consistent with the content of the patent application. Among them, the patentee is the patentee with the first signature. Where the patent has gone through the formalities of changing the description item, it shall be filled in according to the contents approved by China National Intellectual Property Administration.
3. The boxes in columns ② and ④ of this form are for the person filling in the form to choose from. If there is any situation described after the box, it should be marked in the box.
4. Where the patentee requests to give up the patent right without entrusting a patent agency, all patentees shall sign or seal in the third column of this form; Or the representative designated in the request shall sign or seal in the third column of this form, and attach the certification materials that all patentees agree to give up the patent right with their signatures or seals. Where a patent agency is entrusted, the patent agency shall affix its seal in column ⑤ of this form, and all patentees shall sign or affix their seals in column ⑤ of this form, or attach the certification materials that all patentees agree to give up the patent right with their signatures or seals.
Five, the patentee shall not request to cancel the declaration of giving up the patent right without justifiable reasons.