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Application Data Sheet 37 CFR 1.76 (Paper Filed Application) PTO-AIA-14 - Official Federal Forms
| Application Data Sheet 37 CFR 1.76 (Paper Filed Application) Form. This is a national form and can be used in Patent US Patent Office . |
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PTO/AIA/14 (03-13) 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. Application Data Sheet 37 CFR 1.76 Title of Invention Attorney Docket Number Application Number The application data sheet is part of the provisional or nonprovisional application for which it is being submitted. The following form contains the bibliographic data arranged in a format specified by the United States Patent and Trademark Office as outlined in 37 CFR 1.76. This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS) or the document may be printed and included in a paper filed application. Secrecy Order 37 CFR 5.2 Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to 37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may not be filed electronically.) Inventor Information: Inventor 1 Legal Name Prefix Given Name Residence Information (Select One) City Middle Name US Residency Family Name Non US Residency Active US Military Service Suffix State/Province i Country of Residence Mailing Address of Inventor: Address 1 Address 2 City Postal Code State/Province Country i Add All Inventors Must Be Listed - Additional Inventor Information blocks may be generated within this form by selecting the Add button. Correspondence Information: Enter either Customer Number or complete the Correspondence Information section below. For further information see 37 CFR 1.33(a). An Address is being provided for the correspondence Information of this application. Customer Number Email Address Application Information: Title of the Invention Attorney Docket Number Application Type Subject Matter Total Number of Drawing Sheets (if any) Suggested Figure for Publication (if any) Small Entity Status Claimed American LegalNet, Inc. www.FormsWorkFlow.com EFS Web 2.2.6 PTO/AIA/14 (03-13) 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. Application Data Sheet 37 CFR 1.76 Title of Invention Attorney Docket Number Application Number Publication Information: Request Early Publication (Fee required at time of Request 37 CFR 1.219) I hereby request that the attached application not be published under 35 U.S.C. 122(b) and certify that the invention disclosed in the attached application has not and will not be the subject of an application filed in another country, or under a multilateral international agreement, that requires publication at eighteen months after filing. Request Not to Publish. Representative Information: Representative information should be provided for all practitioners having a power of attorney in the application. Providing this information in the Application Data Sheet does not constitute a power of attorney in the application (see 37 CFR 1.32). Either enter Customer Number or complete the Representative Name section below. If both sections are completed the customer Number will be used for the Representative Information during processing. Please Select One: Customer Number Customer Number US Patent Practitioner Limited Recognition (37 CFR 11.9) Domestic Benefit/National Stage Information: This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, or 365(c) or indicate National Stage entry from a PCT application. Providing this information in the application data sheet constitutes the specific reference required by 35 U.S.C. 119(e) or 120, and 37 CFR 1.78. Prior Application Status Application Number Continuity Type Prior Application Number Filing Date (YYYY-MM-DD) Additional Domestic Benefit/National Stage Data may be generated within this form by selecting the Add button. Foreign Priority Information: This section allows for the applicant to claim priority to a foreign application. Providing this information in the application data sheet constitutes the claim for priority as required by 35 U.S.C. 119(b) and 37 CFR 1.55(d). When priority is claimed to a foreign application that is eligible for retrieval under the priority document exchange program (PDX)i the information will be used by the Office to automatically attempt retrieval pursuant to 37 CFR 1.55(h)(1) and (2). Under the PDX program, applicant bears the ultimate responsibility for ensuring that a copy of the foreign application is received by the Office from the participating foreign intellectual property office, or a certified copy of the foreign priority application is filed, within the time period specified in 37 CFR 1.55(g)(1). Application Number Country i Filing Date (YYYY-MM-DD) Access Codei (if applicable) Additional Foreign Priority Data may be generated within this form by selecting the Add button. EFS Web 2.2.6 American LegalNet, Inc. www.FormsWorkFlow.com PTO/AIA/14 (03-13) 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. Application Data Sheet 37 CFR 1.76 Title of Invention Attorney Docket Number Application Number Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition Applications This application (1) claims priority to or the benefit of an application filed before March 16, 2013 and (2) also contains, or contained at any time, a claim to a claimed invention that has an effective filing date on or after March 16, 2013. Authorization to Permit Access: Authorization to Permit Access to the Instant Application by the Participating Offices If checked, the undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), the Japan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the World Intellectual Property Office (WIPO), and any other intellectual property offices in which a foreign application claiming priority to the instant patent application is filed access to the instant patent application. See 37 CFR 1.14(c) and (h). This box sh
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