Sample Format for Compact Disc Transmittal Sheet for Submission of Sequence Listing and/or Tables to the United States Receiving

For Receiving Office Use Only

COMPACT DISC TRANSMITTAL SHEET FOR
SUBMISSION OF SEQUENCE LISTING AND/OR TABLES
TO THE UNITED STATES RECEIVING OFFICE UNDER
PCT ADMINISTRATIVE INSTRUCTIONS - PART 8

International Application Number
For Receiving Office Use Only

For Receiving Office Use Only
Date of transmission back to applicant

Date of receipt in RO/US

# CDs recvd.

INTERNATIONAL APPLICATION DATA

APPLICANT'S CONTACT INFORMATION

Applicant: ___________________________________________

Name of Contact: ____________________________________

File Reference: _______________________________________

Telephone Number: ___________________________________

Title: _______________________________________________

Facsimile Number: ___________________________________

SEQUENCE LISTING FILE

TABLES FILE(S) (use continuation box below if necessary)

Name of File (as per CD directory): ______________________

Name of File(s) (as per CD directory): _____________________

Size of File (in bytes or kilobytes): _______________________

Size of File(s) (in bytes or kilobytes): _____________________

Date of File (as per CD directory): _______________________

Date of File(s) (as per CD directory): ______________________

STATEMENT
I hereby certify that the four copies of the sequence listing part and/or the three copies of the tables part submitted herewith are identical.
Name of Person Signing: _________________________________________________
Signature of Applicant, Agent, or Common Representative: ______________________________________________________________

CONTINUATION OF TABLES FILE(S) (attach additional sheets if necessary)

This sheet offers a sample or suggested format for a Compact Disc Transmittal Sheet For Submission Of Sequence Listing and/or Tables To The United States
Receiving Office Under PCT Administrative Instructions - Part 8. This sample sheet is not an OMB officially approved form.