1. (a) In respect of the international application and any document to be published together with the international application
under Rule 48.2, the applicant hereby requests the International Bureau to omit from international publication* the following
information (specify):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
(b) In respect of any other document contained in the le of the International Bureau, the applicant hereby requests the International
Bureau to omit from public fi le access** the following information (specify):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
2. State the reasons why (1) the information does not obviously serve the purpose of informing the public about the international
application, (2) publication of and/or public access to this information would clearly prejudice the personal or economic interests
of a person; and (3) there is no prevailing public interest to have access to that information:
3. Except where the omission of above mentioned information results in the omission of an entire sheet, the applicant must submit
(a) replacement sheet(s) from which the relevant information has been omitted, and an accompanying letter drawing attention to
the diff erences between the replaced sheet(s) and the replacement sheet(s) (see Rule 26.4).
4. Signature of applicant(s), agent or common representative:
Next to each signature, indicate the name of the person signing and the capacity in which the person signs (if such capacity is not
obvious from reading this request).
ATTENTION
* The request to omit information from international publication must be received by the International Bureau prior to the completion
of technical preparations for international publication (Rule 48.2(l)).
** The request to omit information from public fi le access may be submitted at any time (Rule 94.1).
Form PCT/IB/384 (revised January 2020)
To:
PATENT COOPERATION TREATY
REQUEST FOR OMISSION OF INFORMATION
FROM INTERNATIONAL PUBLICATION
AND/OR PUBLIC FILE ACCESS
(PCT Rules 48.2(l) and 94.1(e))
PCT
The International Bureau of WIPO
34, chemin des Colombettes
1211 Geneva 20
Switzerland
Priority date
(day/month/year)
International fi ling date
(day/month/year)
Applicant’s or agent’s fi le reference
International application No.
Applicant