LAWS OF MALAWI Patents (Subsidiary) Cap. 49:02 Patents Regulations MALAWI Patents Form No. 1 Sections 11 and 12 Regulation 3(1) PATENTS ACT (CAP. 49:02) Fee :K30 Application for a Patent (Non-Convention) I/We (1) ………………………………………………………………………………….. ……………………………………………………………………………………………. …….…………………………………………………………………………………. …………………………………………………………………………………………… ………………………………………………………….………………………………… being a national/nationals of ………………………………………………….. do hereby declare that I am/we are the owner)s) of an invention in respect of Malawi (2) by having invented it/by having acquired it by assignment, which invention is described in the accompanying (2) provisional/complete specifications under the title (3) ……………………………………………………..………………………………… that (2) I am/we are the assignee(s)/legal representative(s) of (4) ………………………………………………………….………………………………… …………………………………………………………………………………………… who claim(s) to be the inventor(s) thereof, and that to the best of my/our knowledge and belief there is no lawful ground of objection to the grant of a patent to me/us for the invention. ………………………………………………………….………………………………… (1) State full name and address of applicant(s). (2) Delete if not applicable. (3) Here insert title of invention. (4) Here insert name(s) of inventor(s). Dated this ……………………. Day of …………………………….. 200… (5) ……………………………………………. ……………………………………………. My/Our address for service in Malawi:……………………………………………. ……………………………………………. The Registrar The Patent Office P.O. Box 100 BLANTYRE 122 (5) To be signed by the applicant(s) or his/their agent.