SCHEDULE II- (Regulations 29) [Form No.1- 5] (PATENTS REGULATIONS 1986

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Malaysia Legislation

P.U.(A) 327/86
PATENTS REGULATIONS 1986

SCHEDULE II [Form No.1- 5]

(Regulation 29)

FORMS

Patents Form No 1 PATENTS ACT 1983 REQUEST FOR GRANT OF PATENT [Regulation 7 (1)] To: The Registrar of Patents Patent Registration Office Kuala Lumpur Malaysia	For Official Use Application received on. :............................. Filing Date: ............................................ Fee received on: ..................................... Amount: ..................................... Cheque/Postal Order/Money Order/ Draft/Cash No. :.......................................
Please submit this Form in duplicate together with the prescribed fee.	Applicant's file reference .....................................

THE APPLICANT(S) REQUEST (S) THE GRANT OF A PATENT IN RESPECT OF THE FOLLOWING PARTICULARS:

I. TITLE OF INVENTION: ......................................

______________________________

II. APPLICATION (S) (the data concerning each applicant must appear in this box or, if the space is insufficient, in the space below) :

Name: .....................................
I. C. /Passport No: .....................................

Address: .....................................

Address for service in Malaysia: .....................................

Nationality .....................................

* Permanent residence or principal place of business:
...........................................................................
.................................................................................
.................................................................................

Telephone No. (if any) Fax Number (if any)

......................... .......................................

_________________________

Additional Information (if any)
_________________________

*Delete whichever does not apply.

III. INVENTOR:

Applicant is the inventor

Yes _____ No _____

If the applicant is not the inventor:

Name of inventor:...........................................

Address of inventor: ...........................................

A statement justifying the applicant's right to the patent accompanies this Form:

Yes _____ No _____
___________________________

Additional Information (if any)
___________________________

IV. AGENT OR REPRESENTATIVE:

Applicant has appointed a patent agent in accompanying Form No 17

Yes _____ No ______

Agent's registration No: ...........................................
Applicants have appointed to be their common representative ...........................................
___________________________

V. DIVISIONAL APPLICATION:

This application is a divisional application _______

The benefit of the filing date ______ priority date _______

of the initial application is claimed in as much as the subject-matter of the present application is
contained in the initial application identified below:

Initial Application No: ...........................................

Date of filing of initial application: ...........................................
___________________________

VI. DISCLOSURES TO BE DISREGARDED FOR PRIOR ART PURPOSES:

Additional information is contained in supplemental box:

(a) Disclosure was due to acts of applicant or his predecessor in title

Date of disclosure: ...........................................

(b) Disclosure was due to abuse of rights of applicant or his predecessor in title

Date of disclosure: ...........................................

A statement specifying in more detail the facts concerning the disclosure accompanies this Form

Yes .......................................
No ........................................

___________________________

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) :
...........................................

Filing Date: ...........................................

Application No: ...........................................

Symbol of the International Patent Classification:

If not yet allocated, please tick

The priority of more than one earlier application is claimed:

Yes................................ No ...............................................

The certified copy of the earlier application (s) accompanies this Form:

Yes ........................................ No .............................................

If No, it will be furnished by ........................................... (date)

___________________________

Additional Information (if any)
___________________________

VIII. CHECK LIST:

A This application contains the following. .

1. request

2. description ...........................................sheets

3. claim.................................................... sheets

4. abstract................................................ sheets

5. drawings............................................... sheets

Total...................................................... sheets

B This Form, as filed, is accompanied by the items checked below (please tick where appropriate) :

(a) signed Form No 17 .........................................

(b) declaration that inventor does not wish to be named in the patent .............................

(c) statement justifying applicant's right to the patent .........................................

(d) statement that certain disclosures be disregarded ......................................

(e) priority document (certified copy of earlier application) ...................................

(f) cash, cheque, money order, bankers draft or postal order for the payment of application fee ..........

(g) other documents (specify) _____

IX. SIGNATURE .....................**(Applicant / Agent) ...........................(Date)

If Agent, indicate Agents Registration No: ............................................
___________________________

For Official Use

1 Date application received: ...........................................
2 Date of receipt of correction, later filed papers or drawings complains the application :...........................................
___________________________
*Delete where inapplicable.
**Type name under signature and delete where inapplicable.

[Sub.PU(A)229/2001:regulation 5.]

___________________________

Patents Form No 2 PATENTS ACT 1983 DECLARATION OF WITHDRAWAL OF APPLICATION (Regulations 24 and 45 (3)) To: The Registrar of Patents Patents Registration Office Kuala Lumpur Malaysia	For Official Use APPLICATION NO: ........................................... Filing Date: ........................................... Declaration received on: ...........................................





	Date of mailing:
Please submit this Form in duplicate.	Applicant's or Agent's file reference ...........................................

IN THE MATTER OF:

Patent Application No: ........................................... Filing Date: ...........................................

Certificate Application
No: ........................................... Filing Date : ...........................................

___________________________

II APPLICANT (S) :

Name: ...........................................
Address: ...........................................
___________________________

III DECLARATION:

*I / WE declare *my / our desire that the above-identified application be withdrawn under section 25 of the Patents Ad 1983.
___________________________

IV SIGNATURE . ........................................... ........................................
**(Applicant / Agent) (Date)

If Agent, indicate Agent's Registration No:
___________________________

*Delete whichever does not apply.
**Type name under signature. Pursuant to regulation 24, a declaration of withdrawal must be signed
by the applicant(s) or by the agent so authorized for that specific purpose.
___________________________

Patents Form No 3
PATENTS ACT 1983
(Deleted)

REQUEST FOR PRELIMINARY
EXAMINATION AND SEARCH
(Regulations 26 (1) and 45 (3))
___________________________

Patents Form No 4
PATENTS ACT 1983
(Deleted)

REQUEST FOR SEARCH IN RELATION To
SECOND OR SUBSEQUENT INVENTION
(Regulation 26 (7) )
___________________________

Patents Form No 5 PATENTS ACT 1983 REQUEST FOR SUBSTANTIVE EXAMINATION (Regulation 27 (1) and 45(3)) To: The Registrar of Patents Patents Registration Office Kuala Lumpur Malaysia	For Official Use APPLICATION NO: ........................................... Filing Date: ........................................... Request received on : ........................................... Fee received on : ........................................... Amount : ........................................... *Cheque/Postal Order/Money Order/Draft/Cash No: ...........................................
	Date of mailing: ...........................................
Please submit this Form in duplicate together with the prescribed fee.	Applicant's or Agent's file reference ...........................................

I IN THE MATTER OF :

Patent Application No:
...........................................
Filing Date : ...........................................

Certificate Application No:
...........................................
Filing Date : ...........................................
___________________________

II APPLICANT (S):

Name: ...........................................

Address: ...........................................
___________________________

III REQUEST:
.+
The applicant (s) request (s) the Registrar to refer the patent application identified above to an Examiner for a substantive examination in accordance with section 29A (1) of the Patents Act 1983.
___________________________

IV ADDITIONAL INFORMATION accompanies this Form

Yes ____ No ____
___________________________

V SIGNATURE ...........................................

**(Applicant / Agent)

...........................................

(Date)

If Agent, indicates Agent's Registration No: ...........................................
___________________________
*Delete whichever does not apply.

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