Editable PCT Forms ro134

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International application No.

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INDICATIONS RELATING TO DEPOSITED MICROORGANISM
OR OTHER BIOLOGICAL MATERIAL
(PCT Rule 13bis)
A. The indications made below relate to the deposited microorganism or other biological material referred to in the description
on page ____________________________ , line

______________________________

B. IDENTIFICATION OF DEPOSIT

.

Further deposits are identified on an additional sheet

Name of depositary institution

Address of depositary institution (including postal code and country)

Date of deposit

Accession Number

C. ADDITIONAL INDICATIONS (leave blank if not applicable)

This information is continued on an additional sheet

D. DESIGNATED STATES FOR WHICH INDICATIONS ARE MADE (if the indications are not for all designated States)

E. SEPARATE FURNISHING OF INDICATIONS (leave blank if not applicable)
The indications listed below will be submitted to the International Bureau later (specify the general nature of the indications e.g., "Accession
Number of Deposit")

For receiving Office use only
This sheet was received with the international application

Authorized officer

Form PCT/RO/134 (July1998; reprint January 2004)

For International Bureau use only
This sheet was received by the International Bureau on:

Authorized officer