SB 16, also known as Form Pto Sb 16, is a statutory declaration form that can be used in the Philippines to declare someone's intent to renounce their Philippine citizenship. This document is typically used by individuals who have been living outside of the Philippines and have decided to renounce their Philippine citizenship and become a citizen of another country. Anyone considering using this form should carefully read all of the instructions and requirements before submitting it.
You may find information about the type of form you want to fill out in the table. It will tell you the time it will require to finish form pto sb 16, what fields you need to fill in, and so forth.
| Question | Answer |
|---|---|
| Form Name | Form Pto Sb 16 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Hopkins, MN, hereto, Tysver |
Please type a plus sign (+) inside this box
PTO/SB/16
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 OMB control number.
PROVISIONAL APPLICATION FOR PATENT COVER SHEET
This is a request for filing a PROVISIONAL APPLICATION FOR PATENT under 37 CFR 1.53 (c).
INVENTOR(S)
Given Name (first and middle [if any])
Family Name or Surname
Residence
(City and either State or Foreign Country)
Additional inventors are being named on the ___ separately numbered sheets attached hereto
TITLE OF THE INVENTION (280 characters max)
Direct all correspondence to: |
CORRESPONDENCE ADDRESS |
||||||
|
|
|
|
||||
|
|
Customer Number |
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
Type Customer Number here |
||||
OR |
|||||||
|
|
Firm or |
|
|
|
|
|
|
|
|
|
|
|
||
|
|
Individual Name |
|
|
|
|
|
Address |
|
|
|
|
|||
Address |
|
|
|
|
|||
City |
State |
||||||
|
|
|
|
||||
Country |
Telephone |
||||||
Place Customer Number Bar Code Label here
ZIP
Fax
ENCLOSED APPLICATION PARTS (check all that apply)
Specification Number of Pages
Small Entity Statement
Drawing(s) Number of Sheets
Other (specify)
METHOD OF PAYMENT OF FILING FEES FOR THIS PROVISIONAL APPLICATION FOR PATENT (check one)
FILING FEE
A check or money order is enclosed to cover the filing fees |
|
AMOUNT ($) |
|
The Commissioner is hereby authorized to charge filing |
|
|
|
fees or credit any overpayment to Deposit Account Number: |
|
|
|
|
|
|
|
|
|
|
|
The invention was made by an agency of the United States Government or under a contract with an agency of the United States Government.
No.
Yes, the name of the U.S. Government agency and the Government contract number are:
Respectfully submitted, |
/ |
/ |
Date |
SIGNATURE
TYPED or PRINTED NAME |
|
|
REGISTRATION NO. |
|
|
|
(if appropriate) |
||
|
|
|
|
|
TELEPHONE |
|
|
|
Docket Number: |
|
|
|
|
|
USE ONLY FOR FILING A PROVISIONAL APPLICATION FOR PATENT
Burden Hour Statement: This form is estimated to take 0.2 hours to complete. Time will vary depending upon the needs of the individual case. Any comments on the amount of time you are required to complete this form should be sent to the Chief Information Officer, Patent and Trademark Office, Washington, DC 20231. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Box Provisional Application, Assistant Commissioner for Patents, Washington, DC 20231.
PROVISIONAL APPLICATION COVER SHEET
Additional Page
PTO/SB/16
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 OMB control number.
Docket Number
Type a plus sign (+) inside this box
INVENTOR(S)/APPLICANT(S)
Given Name (first and middle [if any])
Family or Surname
Residence
(City and either State or Foreign Country)
Number ____ of ____