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5 מ א א א מ مكتب براءات الاختراع لمجلس التعاون لدول الخليج العربية شهادة بتقديم طلب لدى مكتب براءات الاختراع : يشهد مكتب براءات الاختراع جمللس التعاون لدول الخليج العربية / السادة با ن السيد.. قد قدم/قدمو طلبا برقم :م ت خ /ب/ ٠٠٠٠/٠٠٠٠ وتاريخ : ٠٠٠٠/٠٠/٠٠ م تحت اسم الاختراع.. وقد ا عطيتله/ لهمالوثيقةبناءعلىطلبه/طلبهم وا نالطلبساريالمفعولحتىتاريخهذهالشهادة. وللا حاطة فا ن هذه الشهادة ليست براءة اختراع مدير عام مكتب براءات الاختراع

6 Patent Office of the Cooperation Council for the Arab States of the Gulf True copy of a patent application The GCC Patent Office hereby certifies the enclosed true copy of the Patent Application No. GCC/P/0000/0000, filed on 00/00/2002. The requestor has been furnished with this certificate at his request. For information, this certificate is NOT a patent. Director General, GCC Patent Office

7 The notification of the first filing: Country/Office: GE Number: AP Recommended Presentation in Abbreviated Form as a Priority Application Number: GE AP

8 saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti NATIONAL INTELLECTUAL PROPERTY CENTER OF GEORGIA SAKPATENTI d a m o w m e b u l i a s l i Certified copy saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti adasturebs, rom TandarTuli masala aris gamogonebaze ganacxadis zusti asli: National Intellectual Property Center of Georgia Sakpatenti hereby certifies that the document annexed hereto is a true copy of the application for invention, as follows: (22) ganacxadis Setanis TariRi (Date of filing the application): (21) ganacxadis # (Application #): (54) gamogonebis dasaxeleba (Title of invention): (76) gamomgoneblis, romelic amave dros ganmcxadebelicaa, saxeli, gvari (Name of inventor who is also applicant): Tbilisi, Tbilisi generaluri direqtoris moadgile Deputy Director General reg. #

9 saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti NATIONAL INTELLECTUAL PROPERTY CENTER OF GEORGIA SAKPATENTI d a m o w m e b u l i a s l i Certified copy saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti adasturebs, rom TandarTuli masala aris sasargeblo modelis ganacxadis zusti asli: National Intellectual Property Center of Georgia Sakpatenti hereby certifies that the document annexed hereto is a true copy of the application for utility model, as follows: (22) ganacxadis Setanis TariRi (Date of filing the application): (21) ganacxadis # (Application # ): (54) sasargeblo modelis dasaxeleba (Title of the utility model): (76) gamomgoneblis, romelic amave dros ganmcxadebelicaa, saxeli, gvari (Name of inventor who is also applicant): E Tbilisi, Tbilisi generaluri direqtoris moadgile Deputy Director General reg. #

10 saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti NATIONAL INTELLECTUAL PROPERTY CENTER OF GEORGIA SAKPATENTI d a m o w m e b u l i a s l i Certified copy saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti adasturebs, rom TandarTuli masala aris samrewvelo nimusze ganacxadis zusti asli: National Intellectual Property Center of Georgia Sakpatenti hereby certifies that the document annexed hereto is a true copy of the application for industrial design, as follows: (22) ganacxadis Setanis TariRi (Date of filing the application): (21) ganacxadis # (Application #): AA (28) samrewvelo nimusebis raodenoba (Number of designs): (54) samrewvelo nimusis dasaxeleba (Title of the design): (71) ganmcxadeblis saxeli, gvari (Name of applicant): Tbilisi, Tbilisi generaluri direqtoris moadgile Deputy Director General reg. #

11 saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti NATIONAL INTELLECTUAL PROPERTY CENTER OF GEORGIA SAKPATENTI d a m o w m e b u l i a s l i Certified copy 15 August 2006 ( ) saqartvelos inteleqtualuri sakutrebis erovnuli centri saqpatenti adasturebs, rom TandarTuli masala aris gamogonebaze ganacxadis zusti asli: National Intellectual Property Center of Georgia Sakpatenti hereby certifies that the document annexed hereto is a true copy of the application for invention, as follows: ganacxadis nomeri (APPLICATION NUMBER): AP Setanis TariRi (FILING DATE): 22 Tebervali 2006 ( ) gamogonebis dasaxeleba (TITLE OF INVENTION): მძღოლის სავარძლის საკიდარი ინერციული ელემენტით ganmcxadebeli)(ebi) (APPLICANT(S)): Tamaz mamalaze (GE); exeba saertasoriso ganacxadis nomers (RELATED PCT APPLICATION NUMBER): PCT/GE2006/ qveynis kodi da Tqveni saprioriteto ganacxadis nomeri aris GE igi gamoiyeneba am ganacxadis sazrvargaret wardgenisas parizis konvenciis Sesabamisad THE COUNTRY CODE AND NUMBER OF YOUR PRIORITY APPLICATION, TO BE USED FOR FILING ABROAD UNDER THE PARIS CONVENTION, IS GE Certified by generaluri direqtoris moadgile Deputy Director General

12 NATIONAL INTELLECTUAL PROPERTY CENTER OF GEORGIA SAKPATENTI International application number: PCT/GE2006/ International filing date: 29 December 2006 ( ) Document type: Certified copy of priority document Document details: Country of priority: GE Priority number: GE Filing date: 22 February 2006 ( ) Remark: Priority document submitted or transmitted to the International Bureau in compliance with Rule 17.1(a) or (b) Deputy Director General

13 DRŽAVNI ZAVOD ZA INTELEKTUALNO VLASNIŠTVO REPUBLIKE HRVATSKE Ulica grada Vukovara ZAGREB Obrazac P-1, stranica 1 ZAHTJEV ZA PRIZNANJE PATENTA (popuniti čitko tiskanim slovima) Rubrike 1-3 popunjava Zavod 21 BROJ PRIJAVE 1 Klasa, urudžbeni broj, datum zaprimanja 3 P A Klasa: /05-011/ DATUM PODNOŠENJA PRIJAVE :10:00 2 Urudžbeni broj: /2-05/001 Datum: :10:00 OVIME SE ZAHTIJEVA PRIZNANJE PATENTA Rubrike 4-18 popunjava podnositelj prijave 54 NAZIV IZUMA 4 71 PODNOSITELJ PRIJAVE Prezime i ime (za fizičke osobe) Tvrtka (za pravne osobe) Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax IZJAVA O ZAJEDNIČKOM PREDSTAVNIKU PODACI O OSTALIM PODNOSITELJIMA 72 IZUMITELJ Prezime i ime Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax IZUMITELJ NE ŽELI BITI NAVEDEN U PRIJAVI IZUMITELJ JE UJEDNO I PODNOSITELJ PRIJAVE PODACI O OSTALIM IZUMITELJIMA 74 ZASTUPNIK Prezime i ime (za fizičke osobe) Tvrtka (za pravne osobe) Broj iz registra DZIV-a Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax PODACI O OSTALIM ZASTUPNICIMA Upisati znak x ako postoji više podnositelja, a pisanu izjavu o zajedničkom predstavniku dati u prilogu Upisati znak x ako postoji više podnositelja; podatke dati na posebnom listu u prilogu Upisati znak x ako izumitelj ne želi biti naveden u prijavi 9 Upisati znak x ako je izumitelj ujedno i podnositelj prijave 10 Upisati znak x ako postoji više izumitelja; podatke dati na posebnom listu u prilogu Upisati znak x ako postoji više zastupnika; podatke dati na posebnom listu u prilogu

14 Obrazac P-1, stranica 2 30 ZAHTJEV ZA PRIZNANJE PRAVA PRVENSTVA Datum podnošenja prve prijave (1) Broj prve prijave Država, odnosno regionalna ili međunarodna prijava 14 (2) (3) 23 IZUM IZLOŽEN NA MEĐUNARODNOJ IZLOŽBI 62 IZDVAJANJE IZ PRVOBITNE PRIJAVE ADRESA ZA DOPISIVANJE Ova osoba ujedno je i: PODNOSITELJ PRIJAVE ZASTUPNIK ZAJEDNIČKI PREDSTAVNIK IZUMITELJ Izum je izložen na službenoj ili službeno priznatoj izložbi 15 međunarodnog karaktera DA NE Upisati P-broj i datum prvobitne prijave iz koje je prijava izdvojena 16 Ulica i broj, (pravne osobe sjedište) poštanski broj i mjesto, država, telefon, telefax, 17 Prijava sadržava sljedeći broj stranica: 1. Zahtjev za priznanje patenta: 2. Opis izuma: 3. Patentni zahtjev(i): 4. Sažetak: 5. Crtež(i): 6. Popis nukleotidnih i/ili aminokiselinskih odsječaka: Ukupan broj stranica: Broj patentnih zahtjeva: Broj crteža: Potpis ili pečat podnositelja prijave odnosno potpis ili pečat zastupnika KONTROLNI POPIS 18 Uz prijavu su priloženi sljedeći prilozi: 1. Ovjereni prijepis prve prijave 2. Punomoć Generalna punomoć 3. Izjava o zajedničkom predstavniku 4. Potvrda o izlaganju na međunarodnoj izložbi 5. Izjava izumitelja u slučaju kad ne želi biti naveden u prijavi 6. Dokaz o pohranjenom uzorku živog biološkog materijala 7. Popis nukleotidnih i/ili aminokiselinskih odsječaka u elektronički čitljivom obliku 8. Dokaz o uplaćenoj pristojbi i troškovima postupka ili, Zahtjev za oslobođenje od plaćanja, odnosno, dokaz o njegovoj osnovanosti 9. Istovjetan tekst prijave u elektroničkom obliku 10. Ostalo (navesti) Potpis i pečat Državnog zavoda za intelektualno vlasništvo

15 BROJ PRIJAVE PODACI O OSTALIM IZUMITELJIMA PRIJAVE Obrazac P-1, Dodatni list 2 ZAHTJEV ZA PRIZNANJE PATENTA P A 72 IZUMITELJ Prezime i ime (za fizičke osobe) Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax 72 IZUMITELJ Prezime i ime (za fizičke osobe) Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax 72 IZUMITELJ Prezime i ime (za fizičke osobe) Ulica i broj Poštanski broj i mjesto Država Telefon, Telefax

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