PATENTS FORM 4 Patents Act …

PATENTS FORM 4
Patents Act
                                INTELLECTUAL PROPERTY OFFICE OF SINGAPORE
(Cap. 221)
Patents Rules
Rules 14 and 66(1)               APPLICATION UNDER SECTION 20(5) OR 47(3) FOR
                                      AUTHORISATION BY THE REGISTRAR

NOTES:
1. * denotes mandatory fields.
2. Checkboxes as indicated in bold should be marked with a cross where applicable.
3. The person(s) making this application should complete this form by identifying the names and addresses of the parties to the proceedings in
paragraphs 4 and 5.
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. The relevant checkbox in paragraph 6 should be marked with a cross to indicate the section and subsection under which the directions were given
upon a reference.
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. DETAILS OF PERSON(S) FILING THE REQUEST* (see note 3)

                                                               Total number of person(s) filing the request


Name




Address



State                                                                                                     Country


                                   Further persons are to be indicated on continuation sheet 5




Patents Form 4                                                                                                                    Page 1 of 3
5. DETAILS OF PERSON(S) TO WHOM THE DIRECTIONS OF THE REGISTRAR WERE GIVEN* (see note 3)

                                     Total number of person(s) to whom the directions were given



Name



Address




State                                                                                  Country


                                 Further persons are to be indicated on continuation sheet 5



6. DIRECTIONS OF THE REGISTRAR WERE GIVEN UNDER THE FOLLOWING PROVISION:* (see note 5)
(Note: Only one checkbox may be crossed.)

          Section 20(1)(a)           Section 20(1)(b)              Section 47(1)(a)



          Section 47(1)(b)           Section 47(1)(c)




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




Patents Form 4                                                                                     Page 2 of 3
9. DECLARATION AND REQUEST

I/We declare that the person(s) stated in paragraph 5 has failed to carry out within 14 days the directions of the Registrar given
under the provision set out in paragraph 6 in respect of the patent application/patent as set out in the accompanying statement.

I/We accordingly request that the Registrar authorise me/us to carry out the said directions on behalf of the person to whom the
directions were given.


10. 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 named in paragraph 4 of this form.




                                                                                   DD MM YYYY

_______________________________________
        Name and Signature




Patents Form 4                                                                                                    Page 3 of 3
                          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
                          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