Provisional Patent Application Template
A provisional patent application template is used to file for patent applications in the respective federal offices. The patentee needs to carefully present all information as asked in the provisional patent application template and after it has been thoroughly enquired, verified and certified a final application needs to be filed to get the patent. Details like background of the invention, design descriptions, etc. must be a part of the provisional patent application template. Below given is a sample provisional patent application template.
Sample Provisional Patent application Template
Download Provisional Patent application Template
US PATENT OFFICE
Patent Application Form
Name: __________________________ [First name followed by the last name]
Home address: _______________ [Provide the full address of the applicant]
City: _________ State: ___________ Zip: _____________ [Mention the full address along with zip code]
Occupation: ________________ [Mention the source of income]
Contact number: ______________ [Preferably provide the mobile number]
E-mail: _______________ [Provide a frequently used e-mail id]
Age: ___________
Member Information:
Gender: Male / Female [Underline the right option]
Qualifications: _________________________________
Nationality: ____________ Country of residence: ________________
Invention details:
Name of the invention: ______________
Specification (including ingredients or components): ____________
Background of the invention:
___________________________________________________
Summary of the invention:
__________________________________________________
Brief description of the drawing: __________________ [Mention the details as present in the design of the invention]
Member signature:
____________________ [Authorized signature of the member]
____________________ [Date of signing]
Attach the design of the invention:
_____________________________________________________
Acknowledgement:
The statements stated above are true to the best of my knowledge and I could produce any tangible or informational knowledge that I possess to prove that this product has never been invented or discovered before and to reserve the patent on my name.
____________ [Signature of the patentee]
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