UNIFORM CERTIFICATE OF ATTENDANCE FOR CLE To be ...

Doc Code: OathDocument Description: Oath or declaration filedPTO/ (06-12)Approved for use through 01/31/2014. OMB 0651-0032U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCEUnder 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.DECLARATION FOR UTILITY ORDESIGNPATENT APPLICATION(37 CFR 1.63)DeclarationSubmittedWith InitialFilingORDeclarationSubmitted After InitialFiling (surcharge(37 CFR 1.16(f))required)Attorney DocketNumberFirst Named InventorApplication NumberFiling DateArt UnitExaminer NameCOMPLETE IF KNOWNAs a below named inventor, I hereby declare that:(Title of the Invention)This declaration is directed to:The attached application,ORUnited States Application Number or PCT International application number ___________________________________filed on __________________________.The above-identified application was made or authorized to be made by me.I believe I am the original inventor or an original joint inventor of a claimed invention in the application.I hereby acknowledge that any willful false statement made in this declarationis punishable under 18 U.S.C. 1001by fine or imprisonment of not more than five (5) years, or both.Authorization To Permit Access To Application by Participating OfficeIf checked, the undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO), theJapan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the World Intellectual Property Office (WIPO), andany other intellectual property offices in which a foreign application claiming priority to the above-identified patent application isfiled access to the above-identified patent application. See 37 CFR 1.14(c) and (h). This box should not be checked if theapplicant does not wish the EPO, JPO, KIPO, WIPO, or other intellectual property office in which a foreign application claimingpriority to the above-identified patent application is filed to have access to the above-identified patent application.In accordance with 37 CFR 1.14(h)(3), access will be provided to a copy of the above-identified patent application with respectto: 1) the above-identified patent application-as-filed; 2) any foreign application to which the above-identified patent applicationclaims priority under 35 U.S.C. 119(a)-(d) if a copy of the foreign application that satisfies the certified copy requirement of37 CFR 1.55 has been filed in the above-identified patent application; and 3) any U.S. application-as-filed from which benefit issought in the above-identified patent application.In accordance with 37 CFR 1.14(c), access may be provided to information concerning the date of filing the Authorization toPermit Access to Application by Participating Offices.[Page 1 of 2]This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. The information is required to obtain or retain a benefit by the public which is to file (and bythe USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 21 minutes tocomplete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Anycomments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S.Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THISADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.