PTO/SB/110 Declaration for Utility or Design Patent Application - K

Initial Patent Applications

ptosb0110

Provisional Application for Patent Cover Sheet

OMB: 0651-0032

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PTO/SB/110 (05-95)
Approved for use through XX/ XX/ XXXX 0MB 0651-0032
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid 0MB control number.

Declaration and Power of Attorney for Patent Application

Korean Language Declaration

As a below named Inventor, I hereby declare that:
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My residence, post offtee address and citizenship are as stated
next to my name.

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I believe I am the original, first and sole inventor (If only one
name is listed below) or an original, first and joint inventor (If
plural names are liated bek>w) of the subject matter which is
claimed and for which a patent is sought on the Invention
entitled

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the specification of which Is attached hereto unless the
following box is checked:

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was filed on __________
as United States Application Number or PCT
International Application Number
______ and was amended on
----- (if applicable).

I hereby state that I have reviewed and understand the contents
of the above identified specification, including the claims, as
amended by any amendment referred to above.

I acknowledge the duty to disclose information which is material
to patentability as defined in Title 37, Code of Federal
Regulations, § 1.56.

This collection of information is required by 37 CFR 1.63. The information is required to obtain or retain a benefit by the public which is to
file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.14. This collection is
estimated to take 24 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO.
Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or
suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department
of Commerce, Washington, DC 20231. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner
for Patents, Washington, DC 20231.

PTO/SB/110

Under

the Paperwork

Reduction

Act

of 1995,

no persons

are required

to respond

U.S. Patent
to a collection

Approved
and Trademark
of information

(05-95)

for use through
10/31/2002
OMB 0651-0032
Office;
U.S. DEPARTMENT
OF COMMERCE
unless
it displays
a valid OMB control
number.

Korean Language Declaration

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~ ~E.£."'! ~'l! tstr;d~L)t:t.

I hereby claim foreign priority under TItle 35, UnIted States C:ode,
§ 119(a)-(d) or § 365(b) of any foreign application(s) for patent or
inventor's certificate, or § 365(a) of any PCT Intemational
application which designated at least one country other than the
UnIted States, listed below and have also identified below, by
checking the box, any foreign application for patent or inventor's
certificate, or PCT Intemational application having a filing date
before that of the application on which priority is clairned.

Priority
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I hereby claim the benefit under Title 35, United States Code,
§ 119(e} of any United States provisional application(s} listed
below.

I hereby claim t!18 benefit under TItle 35, United States Code,
§ 120 
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