Form 3 - Petition for Grant of a Patent

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All personal information created, held or collected by the Canadian Intellectual Property Office is protected under the Privacy Act. This means that you will be informed of the purpose for which it is being collected and how to exercise your right of access to that information. You will be asked for your consent where appropriate.

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In section 1, subsection 3(2) and section 5, names and addresses must be presented in the following order with a clearly visible separation between the various elements: family name (in capital letters), given name(s), initials, or firm name, street name and number, city, province or state, postal code, telephone number, fax number and country.

(Subsection 27 (2) of the Patent Act)

, whose , requests the grant of a patent for an invention, , which is described and claimed in the accompanying specification.

2. This application is a , .

3. (1)
3. (2) , whose and the applicant is the legal representative of the inventor.

4. The applicant requests priority in respect of the application on the basis of the following previously regularly filed application:

5. , whose , as the applicant's patent agent.


7. The applicant of the drawings accompany the abstract when it is open to public inspection under section 10 of the Patent Act or published.

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