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DECLARATIONFORUTILITYORAttorneyDocketDESIGNPATENT
Doc Code: Oath
Document Description: Oath or declaration filed PTO/SB/01 (09-12)
Approved for use through 01/31/2014. OMB 0651-0032
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it contains a valid OMB control number.
Attorney Docket
Number
First Named Inventor
COMPLETE IF KNOWN
Application Number
Filing Date
Art Unit
Examiner Name
DECLARATION FOR UTILITY OR
DESIGN
PATENT APPLICATION
(37 CFR 1.63)
Declaration Declaration
Submitted After Initial Submitted
Filing (surcharge With Initial OR
(37 CFR 1.16(f)) Filing
required)
I hereby declare that: (1) Each inventors residence, mailing address, and citizenship are as stated below next to their name;
and (2) I believe the inventor(s) named below to be the original and first inventor(s) of the subject matter which is claimed and
for which a patent is sought on the invention titled:
(Title of the Invention)
the application of which was made or was authorized to be made by me and
is attached hereto
OR
was filed on (MM/DD/YYYY) as United States Application Number or PCT International
(if applicable).Application Number and was amended on (MM/DD/YYYY)
I hereby state that I have reviewed and understand the contents of the above identified application, including the claims, as
amended by any amendment specifically referred to above.
I acknowledge the duty to disclose information which is material to patentability as defined in 37 CFR 1.56, including for
continuation-in-part applications, material information which became available between the filing date of the prior application
and the national or PCT international filing date of the continuation-in-part application.
Authorization To Permit Access To Application by Participating Offices
If checked, the undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the
Japan Patent Off
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