PATENTS FORM 15 Patents Act …

PATENTS FORM 15
Patents Act
                                INTELLECTUAL PROPERTY OFFICE OF SINGAPORE
(Cap. 221)
Patents Rules
Rules 51(3), 53(4) and                      PAYMENT OF RENEWAL FEE UNDER
75(4)                                            SECTION 36(2) OR 54(2)
NOTES:
1. * denotes mandatory fields.
2. Checkboxes as indicated in bold should be marked with a cross where applicable.
3. The person(s) making the request should complete this form by entering his/their name(s) and address(es) in paragraph 5 if the person(s) is/are not
the proprietor(s).
4. In the country field, please refer to the standard list of country codes made available by the Registry of Patents and enter the country code
corresponding to the country in question.
5. Please indicate the anniversary of the patent to which renewal is sought in paragraph 6, e.g. 11.
6. Where an agent is appointed, the fields for "DETAILS OF AGENT" and "ADDRESS FOR SERVICE IN SINGAPORE" should be completed and they
should be the same as those found in the corresponding Patents Form 41. In the event where no agent is appointed, the field for "ADDRESS FOR
SERVICE IN SINGAPORE" should be completed, leaving the field for "DETAILS OF AGENT" blank.
7. Where an individual is appointed as an agent, the sub-field "Name" under "DETAILS OF AGENT" must be completed by entering the full name of the
individual. The sub-field "Firm" must be left blank. Where a partnership/body corporate is appointed as an agent, the sub-field "Firm" under "DETAILS OF
AGENT" must be completed by entering the name of the partnership/body corporate. The sub-field "Name" must be left blank. Where both the "Name" and "Firm"
have been entered, the Registry shall treat the details entered in the sub-field "Firm" as the agent detail intended.
8. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents (Patent Agents) Rules 2001.
9. If the space provided in the patents form is not enough, the additional information should be entered in the relevant continuation sheet. Please note
that the continuation sheets need not be filed with the Registry of Patents if they are not used.

1. YOUR REFERENCE*



2. PATENT APPLICATION NUMBER*



3. PATENT NUMBER*



4. NAME OF PROPRIETOR(S) OF THE PATENT*


(A) Name




(B) Name




                                   Further proprietors are to be indicated on continuation sheet 4



5. DETAILS OF PERSON(S) SEEKING TO RENEW THE PATENT (see note 3)
(Note: If the person(s) filing the request is/are the proprietor(s) mentioned in paragraph 4 above, paragraph 5 should be left empty.)

                                                 Total number of person(s) seeking to renew the patent



Name




Address




State                                                                                                     Country



                                   Further persons are to be indicated on continuation sheet 5

Patents Form 15                                                                                                                   Page 1 of 2
6. DETAILS OF RENEWAL* (see note 5)
                                                                                             DD MM YYYY

Renewal Year                                                  Date Due For Renewal



7. DETAILS OF AGENT (if any) (see notes 6, 7 and 8)


Name




Firm




8. ADDRESS FOR SERVICE IN SINGAPORE* (see note 6)

Block/Hse No.                            Level No.                      Unit No./PO Box



Street Name



Building Name


Postal Code



9. NAME, SIGNATURE AND DECLARATION (WHERE APPROPRIATE) OF PERSON FILING THE REQUEST OR AGENT* (see
note 8)
(Note: Please cross the box below where appropriate.)

          I, the undersigned, do hereby declare that I have been duly authorised to submit this form, on behalf of the person(s) filing
          this request.


                                                                                   DD MM YYYY

_______________________________________
        Name and Signature




Patents Form 15                                                                                                   Page 2 of 2
                          INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

                                            CONTINUATION SHEET 4



Continuation sheet to paragraph                   of Patents Form


PATENT APPLICATION NUMBER (if any)




Name




Name




Name




Name




Name




Name




Name




Name




                              Further persons are to be indicated on another continuation sheet 4
                          INTELLECTUAL PROPERTY OFFICE OF SINGAPORE

                                            CONTINUATION SHEET 5


Continuation sheet to paragraph                   of Patents Form


PATENT APPLICATION NUMBER (if any)




Name



Address




State                                                                 Country



Name



Address




State                                                                 Country




Name



Address




State                                                                 Country




Name



Address




State                                                                 Country



                              Further persons are to be indicated on another continuation sheet 5