Form PTA-1 - 0

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Form PTA-1 Patents Ordinance, 2000

Fee: Rs. Application for registration of a patent agent


(Section 80)(Rule 48)
(To be filed in duplicate)

I,
Insert (in full) the name,
address, and
nationality.

hereby make an application for registration of a Patent Agent.

My particulars are as under:-

(a) Business address ;


(b) Home address ;
(c) Father’s name ;
(d) Date and place of birth ;
(e) Occupation in full ;
(f) Particulars of qualification for registration as a patent agent are

Whether any time removed from the Register of Patent Agents and, if so,
the reason for such removal.

I declare that I am not subject to any of the disabilities or disqualifications


prescribed by the Ordinance and the Rules.

And in proof whereof I transmit the accompanying documents.

I (or we) declare that the facts and matters stated herein are true to the best of my
(or our) knowledge, information and belief.

Dated this day of , 20

Signature:

Insert name, Name:


designation and
address of the Designation:
signatory. Address:

To
Controller of Patents
The Patent Office
Karachi

Website: www.ipo.gov.pk Email: [email protected]

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