Request For Grant Of Patent Page 3

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Additional Information (if any)
VII.
PRIORITY CLAIM (if any) :
The priority of an earlier application is claimed as follows :
Country (if the earlier application is a regional or international application, indicate the office with
which it is filed) :
JAPAN
22 JUNE 2001
Filing Date :
119056/01
Application No. :
Symbol of the International Patent Classification :
ü
It not yet allocated, please tick
The priority of more than one earlier application is claimed :
ü
Yes
No
The certified copy of the earlier application (s) accompanies this Form :
ü
Yes
No
If No, it will be furnished by
UPON REQUEST
(date)
Additional Information (if any)
VIII. CHECK LIST :
A.
This application contains the following :
1. request
2. description
5
sheets
3. claim
1
sheets
1
4. abstract
sheets
1
5. drawings
sheets
Total
8
sheets
B. This Form, as filed, is accompanied by the items checked below :
ü
(a) signed Form No. 17
(b) declaration that inventor does not wish to be named in the patent
ü
(c) statement justifying applicant’s right to the patent
(d) statement that certain disclosure be disregarded
(e) priority document (certified copy of earlier application)
ü
(f) cash, cheque, money order, bank draft or postal order for the payment
of application fee
(g) other documents (specify)
21

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