PTO/SB/110 Approved U.S. Under the Paperwork Reduction Act of 1995. no persons are required to respond Patent and Trademark to a collection of information for use through Office; unless U.S. it displays 10/31/2002. a valid OMB OMB control
(05-95) 0651-0032 number
DEPARTMENT
OF COMMERCE
Declaration and Power of Attorney for Patent Application
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As a beio'N named Inventor .I hereby declare that:
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I believe I am the original, first and sole inventor (if only one name is listed below) or an original, first and joint inventor (If plural names are listed below) of the subject matter whIch Is claimed and for whIch a patent Is sought on the Invention entitled
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I hereby state that I have reviewedand understand U1econtents of the above identified specification, including U1eclaims, as amended by any amendment referred to above.
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I acknov..1edge the duty to disclose infonnationò whIch is material to patentability as defined In Title 37 t Code of Federal Regulations, § 1.56.
~--This collection of information is required by 37 CFR 1.63. The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process) an application Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is estimated to take 24 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments 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. Washington, DC 20231. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO. Commissioner for Patents, Washington, DC 20231.
PTO/SB/110 U.S. Patent to a collection Approved and Trademark of information
(05-95)
Under
the Paperwork
Reduction
Act
of 1995,
no persons
are required
to respond
for use through 10/31/2002 OMB 0651-0032 Office; U.S. DEPARTMENT OF COMMERCE unless it displays a valid OMB control number.
Korean Language Declaration
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I hereby claim foreign priority under TItle 35, UnIted States C:ode, § 119(a)-(d) or § 365(b) of any foreign application(s) for patent or inventor's certificate, or § 365(a) of any PCT Intemational application which designated at least one country other than the UnIted States, listed below and have also identified below, by checking the box, any foreign application for patent or inventor's certificate, or PCT Intemational application having a filing date before that of the application on which priority is clairned.
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I hereby claim the benefit under Title 35, United States Code, § 119(e} of any United States provisional application(s} listed below.
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I hereby claim t!18 benefit under TItle 35, United States Code, § 120
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(Status) (patented, pending, abandoned) (1{i~)(-¥;-tij ~Ji,. {~~. .:¥:.'I) I hereby declare that all statements made herein of my own knowledge are true and that all statements made on information and belief are believed to be true; and further that these statements were made with the knowledge that wil"ul false statemerlts and the like so made are punishable by fine or imprisonment, or both, under Section 1001 of Title 18 of the United States Code and that such willful false statements may jeopardize the validity of the application of any patent issued thereon.
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POWER OF ATTORNEY:As .named iwent(X",1hereby appointthe foUcM;ng attomey(s)and/or agent(s)to prosecute this ~ arxf transactall txJSIness the Patentarxf In TrademarkOffICeCOMected therewiU1:Ist name and ( f8g1strab'onumber) n
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(Supply Infonnation and signature for third and subsequent joint inventors.)
Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may result in termination of proceedings or abandonment of the application or expiration of the patent. The information provided by you in this form will be subject to the following routine uses: 1. The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether disclosure of these records is required by the Freedom of Information Act. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an individual, to whom the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of the record. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in order to perform a contract. Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m). A record related to an International Application filed under the Patent Cooperation Treaty in this system of records may be disclosed, as a routine use, to the International Bureau of the World Intellectual Property Organization, pursuant to the Patent Cooperation Treaty. A record in this system of records may be disclosed, as a routine use, to another federal agency for purposes of National Security review (35 U.S.C. 181) and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)). A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee, during an inspection of records conducted by GSA as part of that agency’s responsibility to recommend improvements in records management practices and programs, under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA regulations governing inspection of records for this purpose, and any other relevant (i.e., GSA or Commerce) directive. Such disclosure shall not be used to make determinations about individuals. A record from this system of records may be disclosed, as a routine use, to the public after either publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to the public if the record was filed in an application which became abandoned or in which the proceedings were terminated and which application is referenced by either a published application, an application open to public inspection or an issued patent. A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law enforcement agency, if the USPTO becomes aware of a violation or potential violation of law or regulation.
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