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Your Details
Email address
Correspondence address
Name
Telephone
Facsimile
Reference

PATENTS
Countries chosen for application
European Patent application? Yes
PCT application filed? If so, number?
Filing date
DDMMMYYYY format
e.g. 01 NOV 1987
Original Priority Filing
Is priority to be claimed?
If so, how many priorities?
Date of first priority
DDMMMYYYY format
e.g. 01 NOV 1987
Filing number
Country
Patent text for overseas filing
Number of pages of text
Number of claims
Number of drawing sheets
Title
 
TRADE MARKS
Mark for protection
(if a logo, please send a sample)
Does the Applicant have a business address or a trusted subsidiary in a member country of the Madrid Protocol?
If so, which country?
In which countries is protection essential?
In which further countries might protection be useful?
List of goods and/or services to be covered, and indicate classes if possible:
Do you require a trade mark search before filing?
 
DESIGNS
Countries chosen for application
Original Priority Filing
Is priority to be claimed?
If so, how many priorities?
Date of first priority
DDMMMYYYY format
e.g. 01 NOV 1987
Filing number
Country