PAYMENT OF ANNUAL FEES

(Do not fill this space for IPO use only)

!o not "i## t$i% %&a'e For IPO u%e on#()

On Invention Patent Granted under R.A. 8293

(To be filled in triplicate)

TO T*E !IRE+TOR GENERAL

Intellectual Property Office P.O. Box No. 29 ! "anila! Philippines

Please credit enclosed re#ittances as pay#ent of annual dues! in re$ Na#e of %pplicant'Patentee(s)$
Details of pay#ents (+hec, and fill-up$) 0 1 0 1 %nnual fee 2+ Ph

%pplicant &erial ' Patent No. $ Title of In*ention$

(ilin) Date $ Date Published $

%pplication of pay#ent of %nnual (ee.. (+hec, belo/) 0 1 3T4 5ear (irst annual fee 0due and payable on the expiration of four (6) years counted fro# the date of publication of the application in the IPO Official 7a8ette (for non-P+T applications) or fro# the date of international publication of the application (for P+T applications) 2+ 2:= Ph :!93<.<< (&#all) Ph 2!;<<.<< (Bi))

+lai#s in excess of 3 2+ 296 Ph 0Ph :;3.<< (s#all entity) ' Ph 93<.<< (bi) entity) per clai#1 &urchar)e for delayed pay#ent 3<> of the re?uired fee 2+ :22 Ph

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.% s#all entity shall be construed as any business enterprise en)a)ed in any business acti*ity or industry! a)ribusiness and'or ser*ices /hether sin)le proprietorship! cooperati*e! partnership or corporation! /hose total asset is ON@ 4DND2@D "IAAION P@&O& ( Ph :<<!<<<!<<<.<<) or less. Other/ise it shall be considered as a bi) entity. %pplicant shall be presu#ed a bi) entity except /hen a s/orn state#ent is sub#itted clai#in) the contrary. .% ..Ae)al s#all entity shall fee be construed astotal any re#itted businessa#ount enterprise inshall any business or industry! a)ribusiness and'or ser*ices /hether research is :> of the but en)a)ed in no case it be less acti*ity than Ph 2.<<. sin)le proprietorship! cooperati*e! partnership or corporation! /hose total asset is TB@NT5 "IAAION P@&O& Ph 2<!<<<!<<<.<<) or less. No ad*ance pay#ent for annual fees shall be accepted! except only those #ade /ithin 9 #onths before the ( due date. Other/ise shall be considered bi) be entity. %pplicant shall be presu#ed shall a bi)i##ediately entity except /hen s/orn state#ent sub#itted clai#in) Increaseitin fees and char)es! as as a #ay /arranted by the circu#stances! be due a and payable! upon is /ritten notice thereof.the contrary. NOTE$ Please secure %&&@&&"@NT fro# the Patent Publication and 2e)istry Dnit before payin) the %nnual (ees. ..Ae)al research fee /ith :> of the total re#itted a#ount but in no case less than Ph 2.<< is collectible. No ad*ance pay#ent for annual fees is acceptable! except only those #ade /ithin 9 #onths before the due date. Increase in fees and char)es! as #ay be /arranted by the circu#stances! shall i##ediately be due and payable! upon /ritten notice thereof. NOT@$ Please secure %DCI+@ first fro# the Patent'Trade#ar, %d#inistrati*e &er*ices Di*ision before payin) the %nnual (ees.