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IPEA/
EP
PCT
CHAPTER II
DEMAND
under Article 31 of the Patent Cooperation Treaty:
The undersigned requests that the international application specified below be the subject of
international preliminary examination according to the Patent Cooperation Treaty.
For International Preliminary Examining Authority use only
Identification of IPEA
Box No. I
PCT/US2012/654321
CHOCO 95549
(Earliest) Priority date (day/month/year)
26 October 2011
(26.10.2011)
Title of invention
Box No. II
APPLICANT(S)
Name and address: (Family name followed by given name; for a legal entity, full official designation.
Telephone No.
Facsimile No.
E-mail authorization: Marking one of the check-boxes below authorizes the International Bureau and the International Preliminary Examining
Authority to use the e-mail address indicated in this Box to send notifications issued in respect of this international application if those offices
are willing to do so.
exclusively in electronic form (no paper notifications will be sent).
as advance copies followed by paper notifications; or
candy@anumma.com
E-mail address: __________________________________________________________________________
State (that is, country) of nationality:
US
US
Name and address: (Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
Sheet No. . . .
Continuation of Box No. II
APPLICANT(S)
If none of the following sub-boxes is used, this sheet should not be included in the demand.
Name and address: (Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
Name and address: (Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
D
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TO IF N
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ON
Name and address: (Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
Name and address: (Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
PCT/US2012/654321
agent
common representative
has been appointed earlier and represents the applicant(s) also for international preliminary examination.
is hereby appointed and any earlier appointment of (an) agent(s)/common representative is hereby revoked.
is hereby appointed, specifically for the procedure before the International Preliminary Examining Authority, in addition to
the agent(s)/common representative appointed earlier.
Name and address: (Family name followed by given name; for a legal entity, full official designation. Telephone No.
The address must include postal code and name of country.)
DAVIS, Catherine
2500 Virginia Avenue, N.W.
Washington, D.C. 20037-1902
United States of America
E-mail authorization: Marking one of the check-boxes below authorizes the International Bureau and the International Preliminary Examining
Authority to use the e-mail address indicated in this Box to send notifications issued in respect of this international application if those offices
are willing to do so.
exclusively in electronic form (no paper notifications will be sent).
as advance copies followed by paper notifications; or
davispatents@anumma.com
E-mail address: ___________________________________________________________________________
Address for correspondence: Mark this check-box where no agent or common representative is/has been appointed and the
space above is used instead to indicate a special address to which correspondence should be sent.
Box No. IV BASIS FOR INTERNATIONAL PRELIMINARY EXAMINATION
Statement concerning amendments:*
1. The applicant wishes the international preliminary examination to start on the basis of:
the international application as originally filed
the description
as originally filed
as amended under Article 34
the claims
as originally filed
as amended under Article 19
as amended under Article 34
the drawings
as originally filed
as amended under Article 34
2.
The applicant wishes any amendment to the claims under Article 19 to be considered as reversed.
3.
Where the IPEA wishes to start the international preliminary examination at the same time as the international search in
accordance with Rule 69.1(b), the applicant requests the IPEA to postpone the start of the international preliminary
examination until the expiration of the applicable time limit under Rule 69.1(d).
The applicant expressly wishes the international preliminary examination to start earlier than at the expiration of the
applicable time limit under Rule 54bis.1(a).
4.
*
Where no check-box is marked, international preliminary examination will start on the basis of the international application
as originally filed or, where a copy of amendments to the claims under Article 19 and/or amendments of the international application
under Article 34 are received by the International Preliminary Examining Authority before it has begun to draw up a written opinion
or the international preliminary examination report, as so amended.
ELECTION OF STATES
The filing of this demand constitutes the election of all Contracting States which are designated and are bound by Chapter II of the
PCT.
Form PCT/IPEA/401 (second sheet) (16 September 2012)
PCT/US2012/654321
sheets
sheets
sheets
sheets
sheets
7. other (specify)
sheets
not received
sheets
5.
2.
6.
3.
4.
Catherine Davis
Catherine Davis
4.
5.
6.
7.
8.
CHAPTER II
PCT
FEE CALCULATION SHEET
Annex to the Demand
PCT/US2012/654321
Applicants or agents
file reference
CHOCO 95549
Applicant
EUR 1,850
EUR
EUR 2,015
165
TOTAL
MODE OF PAYMENT
(Not all modes of payment may be available at all IPEAs)
authorization to charge deposit
or current account with the IPEA
(see below)
cheque
cash
postal money order
bank transfer
Date: 6
________________________________________
May 2013 (06.05.2013)
Catherine Davis
Name: _______________________________________
Catherine Davis
Signature: ____________________________________
See Notes to the fee calculation sheet