LAWS OF MALAWI Patents (Subsidiary) Cap. 49:02 Patents Regulations MALAWI Patents Form No. 4 Sections 11, 12 and 31(2) Regulation 3(4) PATENTS ACT (CAP. 49:02) Fee :K60 Application for the Grant of a Patent of Addition instead of an Independent Patent I/We (1) ………………………………………………………………………………….. ……………………………………………………………………………………………. ………………………………………………………….………………………………… being a national/nationals of ………………………………………………….. hereby request that patent No. …………………………………………… of which I am/we are the patentee(s) be revoked and that instead thereof a patent of addition to patent No. ………………………………………………… of which I am/we are also the patentee(s) be granted to me/us, such patent of addition to bear the same date as the patent so revoked. (1) State full name and address of patentee(s) Dated this ……………………. Day of …………………………….. 200… (2) ……………………………………………. ……………………………………………. My/Our address for service in Malawi:……………………………………………. ……………………………………………. The Registrar The Patent Office P.O. Box 100 BLANTYRE 126 (2) To be signed by patentee(s) or his/their agent.