LAWS OF MALAWI Patents (Subsidiary) Cap. 49:02 Patents Regulations MALAWI Patents Form No. 2 Sections 8, 11 and 12 Regulation 3(2) PATENTS ACT (CAP. 49:02) Fee :K30 Convention Application for a Patent 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 entitled (3) ……………………………………………………..………………………………… and which invention is described in the accompanying complete specification, and that (2) I am/we are the assignee(s)/legal representative(s) of (4) ………………………………………………………….………………………………… …………………………………………………………………………………………… who claim(s) to be the inventor(s) thereof, that an application or applications for protection for the invention or inventions has or have been made in the following country or countries and on the following effective date or date, namely:in (5) ………………………………… on (6) …………………………………………… number (7) ………………………………. in (5) ………………………………… on (6) …………………………………………… number (7) ………………………………. in (5) ………………………………… on (6) …………………………………………… number (7) ………………………………. and that the said application or each of the said applications was the first application in a convention country in respect of the relevant invention by me/us or by any person from whom I/We derive title, and that the application(s) in the above-mentioned country/countries qualify under (8) Article 2/3 of the Convention by reason of being (8) a national of/domiciled in/having a place of business in a member state, namely ………………………………………………………….………………………………… and that I/We qualify under the said Article 2/3 by reason of being (8) a national of/domiciled in/having a place of business in a member state, namely ………………………………………………………………………………………….. 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 on this application and that I/We pray that a patent may be granted to me/us for the invention in priority to other applicants, and that such patent shall have the date (6) ………………………………………….. and (8)I/We declare the said invention(s) is/are an improvement in or modification of 123 (1) State full name and address of applicant(s). (2) Delete applicable. not (3) Here insert title of invention. (4) Here insert name(s) of inventor(s). (5) Here insert the name of the convention country in which the first application was made (6)Here insert the official date of the first application in a convention country. (7) Here insert official number of first application in convention country. (8) Delete whichever does not apply. (9) Insert number of main patent or patent application. (10) To be signed by the applicant(s) or his/their agent.