Convention Application for Patent When the True and First

Form P-2A

Fee Rs. /-

PATENTS ORDINANCE, 2000

Convention application for patent when the true and first

inventor is NOT a party to the application

(Section 13(2),Rule 8(2))

(To be accompanied in duplicate by a Complete Specification on Form P-3A)

I/We, (insert, in full, the name, address and nationality of the applicant(s))

hereby declare:

(i)that I/we are the assignee(s) of (give name, address and nationality of the assignor(s));

(ii)that the above mentioned assignor(s)has/have jointly made an application for the protection of the invention for (insert the title of the invention);

(iii)in the following Convention country/countries and on the following official date(s):

Convention CountryDate

(iv)that the invention was not in use in Pakistan by any other person before (insert the official date of the earliest Convention application);

(v)that the specification filed with this application is, and any amended specification which may hereafter be filed in this behalf will be, true of the invention to which this application relates;

(vi)that the facts and matters stated herein are true to the best of my/our knowledge, information and belief;

(vii)that following are the particulars of my/our application:

Description: / ___ Sheet(s)
Claim(s): / ___ Sheet(s)
Abstract: / ___ Sheet(s)
Drawing(s): / ___ Sheet(s)

Address for services in Pakistan:

BHARUCHA & CO.

F-7/1, Block – 8, K.D.A. Scheme No. 5

Kehkashan,Clifton, Karachi75600, Pakistan

I/We humbly pray that a patent may be granted to me/us for the said invention in priority to other applicants and that such a patent shall have the date(insert the official date of the earliest Convention application).

Dated this day of , 20

(Signature)

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Name:

Designation:

Address:

To

Controller of Patents

The Patent Office

Karachi

Form P-2A Reverse

PATENTS ORDINANCE, 2000

Convention Application for patent when the true and first

inventor is NOT a party to the application

(Section 13(2),Rule 8(2))

ENDORSEMENT BY ASSIGNOR(S)

I/We,(insert, in full, the name, address and nationality of the assignor(s))

referred to on the reverse of this document as claiming to be the applicant(s)/inventor(s) in the convention country specified in paragraph (ii), hereby state that the applicant(s) who has/have signed his/their name(s) on the reverse of this form is/are my/our assignee(s).

Dated this day of , 20

(Signature)

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Name:

Names and signatures of two witnesses:

1.______

2.______