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Приложение N 2 к Регламенту (п. 9.2.2)

Дата начала публикации 10.10.2012 13:56:05

¦              Дата поступления               ¦     (21) РЕГИСТРАЦИОННЫЙ N      ¦    ВХОДЯЩИЙ N     ¦ ¦              документов заявки              ¦                                 ¦                   ¦ ¦                                             ¦                                 ¦                   ¦ ¦                                             +---------------------------------+-------------------+ ¦               Дата приоритета               ¦АДРЕС ДЛЯ ПЕРЕПИСКИ (полный почтовый адрес, имя или  ¦ ¦                                             ¦наименование адресата)                               ¦ ¦                                             ¦                                                     ¦ ¦            Условное наименование            ¦                                                     ¦ ¦    ______________________________________   ¦Телефон:                 Факс:                       ¦ ¦      (заполняется Министерством обороны     ¦АДРЕС ДЛЯ СЕКРЕТНОЙ ПЕРЕПИСКИ                        ¦ ¦            Российской Федерации)            ¦                                                     ¦ ¦                                             ¦Телефон:                 Факс:                       ¦ +---------------------------------------------+-----------------------------------------------------+ ¦                                             ¦    В Управление интеллектуальной собственности,     ¦ ¦                  ЗАЯВЛЕНИЕ                  ¦   военно-технического сотрудничества и экспертизы   ¦ ¦         о выдаче патента Российской         ¦        поставок вооружения и военной техники        ¦ ¦           Федерации на изобретение          ¦     Министерства обороны Российской Федерации,      ¦ ¦                                             ¦                  119160, г. Москва                  ¦ +---------------------------------------------+-----------------------------------------------------+ ¦(54) НАЗВАНИЕ ИЗОБРЕТЕНИЯ                                                                          ¦ ¦                                                                                                   ¦ ¦                                                                                                   ¦ ¦                                                                                                   ¦ +-------------------------------------------------------------------------------T-------------------+ ¦(71) ЗАЯВИТЕЛЬ (указываются полное имя или наименование (согласно учредительным¦                   ¦ ¦документам), место жительства или место нахождения и полный почтовый адрес)    ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦Указанное лицо является                                                        ¦       ОГРН        ¦ ¦--¬                                --¬                                         ¦   (для каждого    ¦ ¦¦ ¦ государственным заказчиком     ¦ ¦ муниципальным заказчиком,               ¦    заявителя)     ¦ ¦L--                                L--                                         ¦                   ¦ ¦                исполнитель работ _____________________________________________¦                   ¦ ¦                                             (указать наименование)            ¦                   ¦ ¦--¬                        --¬                   --¬                           ¦                   ¦ ¦¦ ¦ исполнителем работ по  ¦ ¦ государственному  ¦ ¦ муниципальному контракту, ¦                   ¦ ¦L--                        L--                   L--                           ¦                   ¦ ¦                заказчик работ ________________________________________________¦                   ¦ ¦                                           (указать наименование)              ¦                   ¦ ¦Контракт от ___________________________________ N__________________            ¦                   ¦ +-------------------------------------------------------------------------------+-------------------+ ¦(74) ПРЕДСТАВИТЕЛЬ(И) ЗАЯВИТЕЛЯ                                                                    ¦ ¦Указанное(ые) ниже лицо(а) назначено(ы) заявителем(ями) для ведения дел по получению патента от    ¦ ¦его(их) имени в Министерстве обороны                                                               ¦ ¦                                                                                                   ¦ +------------------------------------------------------T--------------------------------------------+ ¦Фамилия, имя, отчество                                ¦Телефон:                                    ¦ ¦                                                      ¦                                            ¦ +------------------------------------------------------+--------------------------------------------+ ¦Адрес:                                                ¦ Факс:                                      ¦ ¦                                                      ¦                                            ¦ +------------------------------------------------------+--------------------------------------------+ ¦                                                                                                   ¦ ¦Срок представительства                                                                             ¦ ¦                                                                                                   ¦ +-------------------------------------------------------------------------------T-------------------+ ¦                                                                               ¦  Полный почтовый  ¦ ¦                      (72) Автор (указывается полное имя)                      ¦    адрес места    ¦ ¦                                                                               ¦    жительства:    ¦ +-------------------------------------------------------------------------------+-------------------+ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ ¦                                                                               ¦                   ¦ +-------------------------------------------------------------------------------+---------T---------+ ¦                                                                               ¦ Кол-во  ¦ Кол-во  ¦ ¦                        ПЕРЕЧЕНЬ ПРИЛАГАЕМЫХ ДОКУМЕНТОВ                        ¦листов в ¦  экз.   ¦ ¦                                                                               ¦ 1 экз.  ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ описание изобретения                                                       ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ перечень последовательностей                                               ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ формула изобретения (количество пунктов формулы ______)                    ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ чертеж(и) и иные материалы                                                 ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ реферат                                                                    ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ документ(ы), подтверждающий(е) уплату патентной пошлины                    ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ ходатайство о предоставлении права  на  освобождение  от  уплаты  патентной¦         ¦         ¦ ¦L-- пошлины или уплату патентной пошлины в уменьшенном размере                 ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ доверенность                                                               ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ +-------------------------------------------------------------------------------+---------+---------+ ¦--¬                                                                            ¦         ¦         ¦ ¦¦ ¦ другой документ (указать)                                                  ¦         ¦         ¦ ¦L--                                                                            ¦         ¦         ¦ ¦                                                                               ¦         ¦         ¦ L-------------------------------------------------------------------------------+---------+----------   ----------------------------------------------------------------------------------------------------¬ ¦                                                                                                   ¦ ¦ЗАЯВЛЕНИЕ НА ПРИОРИТЕТ  (заполняется только  при испрашивании  приоритета более раннего,  чем  дата¦ ¦подачи заявки)                                                                                     ¦ ¦                                                                                                   ¦ ¦     Прошу установить приоритет изобретения по дате:                                               ¦ ¦   --¬                                                                                             ¦ ¦1) ¦ ¦ поступления дополнительных  материалов к более  ранней заявке  (п. 2  ст. 1381  Гражданского¦ ¦   L-- кодекса)                                                                                    ¦ ¦   --¬                                                                                             ¦ ¦2) ¦ ¦ подачи более ранней  заявки  (п. 3  ст. 1381  Гражданского  кодекса)  (более  ранняя  заявка¦ ¦   L-- считается отозванной на дату подачи настоящей заявки)                                       ¦ ¦   --¬                                                                                             ¦ ¦3) ¦ ¦ подачи/приоритета первоначальной заявки  (п. 4  ст. 1381  Гражданского кодекса),  из которой¦ ¦   L-- выделена настоящая заявка                                                                   ¦ ¦                                                                                                   ¦ +-------------------------------------------------T-------------------------------------------------+ ¦   Номер первой (более ранней, первоначальной)   ¦          Дата испрашиваемого приоритета         ¦ ¦                      заявки                     ¦                                                 ¦ +-------------------------------------------------+-------------------------------------------------+ ¦1.                                               ¦                                                 ¦ ¦                                                 ¦                                                 ¦ +-------------------------------------------------+-------------------------------------------------+ ¦2.                                               ¦                                                 ¦ ¦                                                 ¦                                                 ¦ +-------------------------------------------------+-------------------------------------------------+ ¦3.                                               ¦                                                 ¦ ¦                                                 ¦                                                 ¦ +-------------------------------------------------+-------------------------------------------------+ ¦                                                                                                   ¦ ¦ХОДАТАЙСТВО ЗАЯВИТЕЛЯ:                                                                             ¦ ¦--¬                                                                                                ¦ ¦¦ ¦ провести экспертизу заявки на изобретение по существу (п. 1 ст. 1386 Гражданского кодекса)     ¦ ¦L--                                                                                                ¦ +---------------------------------------------------------------------------------------------------+ ¦                                                                                                   ¦ ¦Подпись                                                                                            ¦ ¦                                                                                                   ¦ ¦                                                                                                   ¦ ¦                                                                                                   ¦ ¦Подпись(и), Ф.И.О. заявителя(ей) (представителя заявителя) и дата подписи (при подписании от имени ¦ ¦юридического лица указывается должность, подпись руководителя или иного уполномоченного на это лица¦ ¦удостоверяется печатью).