Form P-1A Fee Rs. /- PATENTS ORDINANCE, 2000 Application for patent when the true and first inventor is NOT a party to the application (Section 13(1), Rule 8(1)) (To be accompanied in duplicate by a Provisional specification on Form P-3 or the Complete Specification on Form P-3A)

I/We, (insert, in full, the name, address and nationality of the applicant(s))

hereby declare:

(I) that I/we are in possession of an invention for (insert title of the invention);

(II) that I/we claim to be the assignee of (give name, address and nationality of the assignor(s)) who claim (s) and is/are believed to be the true and first inventor(s) thereof;

(III) that the invention is not in use in Pakistan by any other person;

(IV) that the (state here whether the specification accompanying this form is “provisional or complete”) specification filed with this application is and any amended specification which may hereafter be filed in this behalf will be true of the invention to which this application relates;

(V) that the facts and matters stated herein are true to the best of our knowledge, information and belief;

(VI) that following are particulars of our application:

Description: ___ Sheet(s) Claim(s): ___ Sheet(s) Abstract: ___ Sheet(s) Drawing(s): ___ Sheet(s)

Address for services in Pakistan: BHARUCHA & CO. F-7/1, Block – 8, K.D.A. Scheme No. 5 Kehkashan, Clifton, Karachi 75600, Pakistan

We humbly pray that a patent may be granted to us for the said invention.

Dated this day of , 20 (Signature) ------Name: Designation: Address: To Controller of Patents The Patent Office Karachi Form P-1A Reverse

PATENTS ORDINANCE, 2000 Application for patent when the true and first inventor is NOT a party to the application (Section 13(1), Rule 8(1))

ENDORSEMENT BY ASSIGNOR(S)

We, (give name, address and nationality of the assignor(s))

referred to on the reverse of this document as claiming to be the true and first inventor(s) and agree that the said application shall be made without our names as an applicant for a patent.

Dated this day of , 20

(Signature) ------Name:

Names and signature of two witnesses:-

1.______

2.______