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Utility model patent request

Utility model ___________
name____________
designer____________
Applicant's name or name ___________
Nationality or country of origin _______________
Postal code______address___________ Contact name____
Name or name _________ Nationality or country of origin____
Postal code______address___________ Contact name____
Name or name __________ Nationality or country of origin________
Postal code______address___________ Contact name____
Patent agent ___________________________
Institution Name ________________ Agency Code_______
Postal code _______ address ______________
Agent Name______ Agent Certificate Number _______Phone_______
Divisional application original application number _______________________
Original application date _______
Request for Priority Claims Prior Application Country Prior Application Date Prior Application No Loss of Novelty Grace Statement □ Has been exhibited for the first time at an international exhibition hosted or recognized by the Chinese government □ A prescribed academic conference or technical conference First published claims number of each __ item description each __ item description drawing each __ utility model __________
name___________
List of application files ________ List of additional files ______ Approval by the Patent Office
1. Request form ___ copies of each __page □ Patent Attorney
2. Claims __ copies per __ page □ fee mitigation request
3, the manual ____ copies of each __ page □ the first application file copy
4, the manual drawing __ copies of each __ page □
5, the manual summary __ copies of each __ page □
6, the abstract drawing ___ copies of each __ page □
Applicant or agency signature recipient address, last name

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