State (that is, country) of nationality: State (that is, country) of residence:
Name and address:
International application No.
International fi ling date (day/month/year)
Applicant’s or agent’s fi le reference
(Earliest) Priority date (day/month/year)
Box No. II APPLICANT
Box No. I IDENTIFICATION OF THE INTERNATIONAL APPLICATION
Title of invention
See Notes to the
supplementary search request
Form PCT/IB/375 (fi rst sheet) (revised January 2019)
For International Bureau use only
Date of receipt of RequestIdentifi cation of Authority
PCT
SUPPLEMENTARY SEARCH REQUEST
Under Rule 45bis.1, the undersigned requests that a supplementary international search
be carried out in respect of the international application specifi ed below:
The supplementary search request must be led directly with the International Bureau. The full name or two-letter code of the Authority
speci ed for supplementary search must be indicated by the applicant below:
AUTHORITY/
(Family name followed by given name; for a legal entity, full o cial designation.
The address must include postal code and name of country.)
Telephone No.
Applicant’s registration No. with the Offi ce
Facsimile No.
Box No. III AGENT OR COMMON REPRESENTATIVE; OR ADDRESS FOR CORRESPONDENCE
The following person is agent common representative
and has been appointed earlier and represents the applicant(s) also for the supplementary international search.
is hereby appointed and any earlier appointment of (an) agent(s)/common representative is hereby revoked.
is hereby appointed, specifi cally for the procedure before this Authority specifi ed for supplementary search, in addition to
the agent(s)/common representative appointed earlier.
Name and address:
(Family name followed by given name; for a legal entity, full o cial designation.
The address must include postal code and name of country.)
Telephone No.
Agent’s registration No. with the Offi ce
Facsimile No.
E-mail authorization: Marking one of the check-boxes below authorizes the International Bureau and the Authority specifi ed for
supplementary search to use the e-mail address indicated in this Box to send notifi cations issued in respect of this international application
if those offi ces are willing to do so.
E-mail address: ___________________________________________________________________________
as advance copies followed by paper notifi cations; or
exclusively in electronic form (no paper notifi cations will be sent).
E-mail authorization: Marking one of the check-boxes below authorizes the International Bureau and the Authority specifi ed for
supplementary search to use the e-mail address indicated in this Box to send notifi cations issued in respect of this international application
if those offi ces are willing to do so.
as advance copies followed by paper notifi cations; or
exclusively in electronic form (no paper notifi cations will be sent).
E-mail address: ___________________________________________________________________________
Form PCT/IB/375 (last sheet) (revised January 2019)
See Notes to the
supplementary search request
Sheet No. . . .
Box No. VI SIGNATURE OF APPLICANT, AGENT OR COMMON REPRESENTATIVE
International application No.
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).
Box No. V CHECK LIST
The supplementary search request is accompanied by the item(s) marked below:
1. translation of the international application for the purposes of the supplementary
international search (Rule 45bis.1(c)(i))
2. fee calculation sheet
3. original separate power of attorney
4. original general power of attorney
5. copy of general power of attorney; reference number, if any:
6. sequence listing in the form of an Annex C/ST.25 text fi le (Rule 45bis.1(c)(ii))
7. statement confi rming that the copy of the sequence listing in the form of an
Annex C/ST.25 text fi le (see above) is identical to the sequence listing forming
part of the international application as fi led
8. other (specify):
received not received
For International Bureau use only
For International Bureau use only
1. Date of actual receipt of REQUEST:
2. The date of receipt is AFTER the expiration of 22 months from the priority date and items 3 and 4, below, do not apply.
3. The date of receipt of the request is WITHIN the time limit of 22 months from the priority date as extended by virtue of
Rule 80.5.
4. Although the date of receipt of the request is after the expiration of 22 months from the priority date, the delay in arrival is
EXCUSED pursuant to Rules 82 or 82quater.
Box No. IV BASIS FOR SUPPLEMENTARY INTERNATIONAL SEARCH
Language for the purposes of supplementary international search: _________________________________________________
which is the language in which the international application was fi led
which is the language of translation furnished for the purposes of international search
which is the language of translation furnished for the purposes of international publication
which is the language of the translation to be furnished for the purposes of supplementary international search
Following the nding by the International Searching Authority that the international application does not comply with the
requirements of unity of invention, the applicant wishes to limit the supplementary international search to one of the inventions
as identifi ed by the International Searching Authority other than the main invention referred to in Article 17(3)(a). The numbers
of the claims relating to this invention are:
Continuation of Box No. III ADDRESS FOR CORRESPONDENCE
Address for correspondence: Mark this check-box where no agent or common representative is/has been appointed and the
space above is used instead to indicate a special address to which correspondence should be sent.
NOTES TO THE SUPPLEMENTARY SEARCH REQUEST FORM (PCT/IB/375)
These notes are intended to facilitate the ling of the supplementary search request form and to give some information concerning
the supplementary international search. For more detailed information, see the PCT Applicant’s Guide, a WIPO publication, which
is available, together with other PCT related documents, on WIPO’s website: www.wipo.int/pct/en/. The Notes are based on the
requirements of the PCT, the Regulations and the Administrative Instructions under the PCT. In case of any discrepancy between
these Notes and those requirements, the latter are applicable.
In the supplementary search request form and these Notes, “Article”, “Rule” and “Section” refer to the provisions of the PCT,
the PCT Regulations and the Administrative Instructions, respectively.
The supplementary search request form shall be typed or printed; check-boxes may be marked by hand with dark ink (Rules 11.9(a)
and (b) and 11.14).
The supplementary search request form and these Notes may be downloaded from WIPO’s website at the address given above.
Notes to the supplementary search request (PCT/IB/375) (page 1) (revised January 2019)
IMPORTANT GENERAL INFORMATION
Which International Searching Authority can be selected
to carry out a supplementary international search? Only
an International Searching Authority which has stated its
preparedness to carry out supplementary international searches
(Rule 45bis.1(e)), and which is not carrying out the international
search under Article 16(1) (“main search”), can be selected
(Rule45bis.9(b)). Information about which Authorities are
prepared to carry out such searches and about any possible
limitations and conditions is provided in the PCT Applicant’s
Guide, Annex SISA.
If the applicant wishes more than one supplementary
international search to be carried out (Rule 45bis.1(a)), a separate
request form should be submitted for each supplementary search
requested.
Where must the supplementary search request be
led? (Rule 45bis.1). A supplementary search request must be
led with the International Bureau and not with the Authority
specifi ed for supplementary search. The International Bureau
transmits the request to the Authority selected by the applicant
once the requirements under Rule 45bis.1(b), (c)(i)), 45bis.2(c)
and 45bis.3(c) have been complied with, but not before the date
of receipt by the International Bureau of the international search
report or the expiration of 17 months from the priority date,
whichever occurs fi rst.
The Authority specifi ed for supplementary search chosen by
the applicant should be identifi ed, preferably by an indication of
the name or two-letter code of the Authority, at the top of the rst
sheet of the supplementary search request in the space provided
for that purpose.
When must the supplementary search request be led?
(Rule 45bis.1(a)). The supplementary search request must be
led with the International Bureau prior to the expiration of 22
months from the priority date.
In which language must the supplementary search request
be led? (Rule 92.2(d)). The supplementary search request must
be fi led in either English or French.
What is the language of correspondence? (Rule 92.2(d) and
Section 104). Any letter from the applicant to the International
Bureau must be in English or French, at the choice of the applicant.
However, if the language of the international application is
English, the letter must be in English; if the language of the
international application is French, the letter must be in French.
What must the supplementary search request be
accompanied by? Where neither the language in which the
international application was led nor that in which a translation
(if any) has been furnished under Rule 12.3 or 12.4 is accepted
by the Authority specifi ed for supplementary search, a translation
of the international application into a language which is accepted
by that Authority should be submitted together with the request.
If applicable, a copy of a sequence listing in electronic form
complying with the standard provided for in the Administrative
Instructions, if required by the Authority specified for
supplementary search, should preferably be submitted together
with the request.
Box No. I
Applicant’s or Agent’s le reference: A fi le reference
may be indicated, if desired. It should not exceed 25 characters.
Characters in excess of 25 may be disregarded (Section 109).
Identifi cation of the international application: The
international application number must be indicated in Box No. I.
International fi ling date and (earliest) priority date
(Section 110): Dates must be indicated by the Arabic number
of the day, the name of the month and the Arabic number of the
year – in that order; after, below or above such indication, the
date should be repeated in parentheses, using two-digit Arabic
numerals each for the number of the day and for the number
of the month followed by the number of the year in four digits,
in that order, and separated by periods, slants or hyphens, for
example, “26 October 2018 (26.10.2018)”, “26 October 2018
(26/10/2018)” or “26 October 2018 (26-10-2018)”. Where the
international application claims the priority of several earlier
applications, the ling date of the earliest application whose
priority is claimed must be indicated as the priority date.
Title of the invention: If a new title has been established by
the International Searching Authority, that title must be indicated
in Box No. I.
Box No. II
Applicant (Rule 45bis.1(b)(i)): The applicant, or, if there is
more than one applicant, at least one of the applicants must be
indicated in the supplementary search request. Mark in Box No. I I
of the supplementary search request the same indications that
are in Boxes No. II and III of the PCT Request. The Notes to
the PCT Request apply mutatis mutandis.
Applicant’s registration number with the Offi ce: Where
the applicant is registered with the national or regional Offi ce that
is acting as the Authority specifi ed for supplementary search, the
supplementary search request may indicate the number or other
indication under which the applicant is so registered.
Telephone, Facsimile Number and/or E-mail address
should be indicated for the person named in Box No. II in order to
allow rapid communication with the applicant (see Rule 4.4(c)).
Any telephone or facsimile number should include the applicable
country and area codes. A single e-mail address only should be
indicated.
Unless one of the check-boxes is marked, any e-mail address
supplied will be used only for the types of communication
which might be made by telephone. If one of the check-boxes
page 2
Notes to the supplementary search request (PCT/IB/375) (page 2) (revised January 2019)
is marked, the International Bureau and Authority specifi ed for
supplementary search may, if they wish to do so, send notifi cations
in respect of the international application to the applicant, thus
avoiding processing or postal delays. Note that not all Offi ces
will send such notifi cations by e-mail (for details about each
Offi ce’s procedure, see PCT Applicant’s Guide, Annex B). If
the fi rst check-box is marked, any such e-mail notifi cation will
always be followed by the offi cial notifi cation on paper. Only
that paper copy of the notifi cation is considered the legal copy of
the notifi cation and only the date of mailing of that paper copy
will commence any time limit within the meaning of Rule 80.
If the second check-box is marked, the applicant requests the
discontinuation of the sending of paper copies of notifi cations
and acknowledges that the date of mailing indicated on the
electronic copy will commence any time limit within the meaning
of Rule 80.
Note that it is the applicant’s responsibility to keep any e -mail
address details up-to-date and to ensure that incoming e -mails are
not blocked, for any reason, on the recipient’s side. Changes to
the e-mail address indicated should be requested to be recorded,
preferably directly at the International Bureau, under Rule 92bis.
Where the e-mail authorization is given both in respect of the
applicant and in respect of an agent or common representative,
the International Bureau and the Authority specified for
supplementary search will send e-mail communications only to
the appointed agent or common representative.
Box No. III
Agent or Common Representative (Rules 45bis.1(b)(i),
90.1 and 90.2): Mark the applicable check-boxes to indicate
rst whether the person named in this Box is agent or common
representative, then whether that person has been appointed
earlier (i.e., during the procedure under Chapter I), or is appointed
in the supplementary search request and any earlier appointment
of another person is revoked, or is appointed speci cally for the
procedure before the Authority speci ed for supplementary search
(without revocation of any earlier appointment), in addition to
the person(s) appointed earlier.
Where an additional person is appointed specifi cally for
the procedure before the Authority specifi ed for supplementary
search, all notifi cations issued by that Authority will be addressed
only to that additional person. A separate power of attorney must
be fi led with the Authority specifi ed for supplementary search,
the International Bureau or the receiving Offi ce, if the person
appointed at the time the supplementary search request is led
(i.e., was not appointed earlier) signs the supplementary search
request on behalf of the applicant (Rule 90.4).
Agent’s registration number with the Offi ce: Where
the agent is registered with the national or regional Offi ce that
is acting as Authority specifi ed for supplementary search, the
supplementary search request may indicate the number or other
indication under which the agent is so registered.
E- mail address (see Notes to Box. No. II)
Address for correspondence Where an agent is appointed,
any correspondence intended for the applicant will be sent to the
address indicated for that agent (or for the rst-mentioned agent, if
more than one is appointed). Where one of two or more applicants
is appointed as common representative, the address indicated for
that applicant in Box No. III will be used. Where no agent or
common representative is appointed, any correspondence will
be sent to the address, indicated in Box No.II, of the applicant.
However, if the applicant wishes correspondence to be sent to a
diff erent address in such a case, that address may be indicated
in Box No.III instead of the designation of an agent or common
representative. In this case, and only in this case, the last check-box
of Box No. III must be marked (that is, the last check-box must
not be marked if either of the check-boxes “agent” or “common
representative” in Box No. III has been marked)
.
Box No. IV
Language for the supplementary international search: The
language for the purposes of supplementary international search
should be indicated in Box No. IV and it should be specifi ed
whether that language is that of the international application as
led, the language of the translation furnished for the purposes of
international search (Rule 12.3), the language of the translation
furnished for the purposes of publication of the international
application (Rule 12.4) and/or the language of the translation to be
furnished for the purposes of supplementary international search.
Where neither the language in which the international
application was led nor that in which a translation (if any) has
been furnished under Rule 12.3 or 12.4 is accepted by the Authority
specifi ed for supplementary search, a translation of the international
application into a language which is accepted by that Authority
must be furnished with the supplementary search request.
Limitation of the supplementary international search
to certain claims: The check-box should be marked where the
International Searching Authority has found that the international
application does not comply with the requirement of unity of
invention and the applicant wishes to limit the supplementary
international search to one of the inventions as identifi ed by
the International Searching Authority other than the main
invention referred to in Article 17(3)(a). The claims relating to
the invention selected and, where applicable, the number of the
invention as identifi ed by the International Searching Authority,
should be indicated in the space provided. Note that where the
international search report is available to the Authority specifi ed
for supplementary search before it starts the search, the Authority
may exclude from the supplementary search any claims which
were not the subject of the international search (Rule 45bis.5(d)).
Box No. V
Check list: It is recommended that this Box be lled in
carefully in order for the Authority specifi ed for supplementary
search to determine, as soon as possible, whether it is in possession
of the documents on the basis of which the applicant wishes
supplementary international search to start. Where a translation
of the international application must be furnished for the purposes
of supplementary international search (Rule 45bis.1(c)(i)), check-
Box No. 1 should be marked.
Where the international application contains disclosure of
one or more nucleotide and/or amino acid sequences, and a copy
of the sequence listing in the form of an Annex C/ST.25 text fi le
is required by the Authority specifi ed for supplementary search,
the applicant should preferably furnish the listing in that form to
the International Bureau with the supplementary search request
(Rule 45bis.1(c)(ii)). If this is the case, check-box No.6 should
be marked.
Box No. VI
Signature of applicant, agent or common representative
(Rules 90 and 92.1): The supplementary search request must
be signed by one of the applicants, the agent or the common
representative.
Important: Should a notice of withdrawal of the
supplementary search request be fi led, that notice will have
to be signed by the applicant or, if there are two or more
applicants by all of them (Rule 90bis.5), or by an agent or a
common representative whose appointment has been eff ected
by each applicant signing, at his choice, the request, the
request for supplementary search, the demand, a separate
power of attorney (Rule 90.4(a)) or a general power of attorney
(Rule 90.5(a)).
See Notes to the fee calculation sheet
Form PCT/IB/375 (Annex) (revised January 2019)
CALCULATION OF PRESCRIBED FEES
MODE OF PAYMENT
Applicant
For International Bureau use only
FEE CALCULATION SHEET
Annex to the supplementary search request
PCT
AUTHORITY
Date stamp of the International Bureau
Applicant’s or agent’s fi le reference
credit card (details should not be included on this sheet)
e-mail address for E-payment: _______________________________
(Leave blank if address is same as that indicated in Box No. II or III)
authorization to charge deposit or current account with the International Bureau
(see below)
bank transfer
postal money order
check
AUTHORIZATION TO CHARGE (OR CREDIT) DEPOSIT OR CURRENT ACCOUNT WITH INTERNATIONAL
BUREAU
Authorization to charge the total fees indicated above.
Authorization to charge any defi ciency or credit any
overpayment in the total fees indicated above.
Deposit or Current Account No.: __________________
Date: ________________________________________
Name: _______________________________________
Signature: ____________________________________
International Application No.
TOTAL
1. SUPPLEMENTARY SEARCH FEE . . . . . . . . . . . . . .
2. SUPPLEMENTARY SEARCH HANDLING FEE . . .
SS
SH
3. TOTAL OF PRESCRIBED FEES . . . . . . . . . . . . . . . .
(Applicants may be entitled to a reduction of the supplementary search fee and the supplementary
search handling fee as indicated in the PCT Fee Tables (www.wipo.int/pct/en/fees.pdf))
0.00
Notes to the fee calculation sheet (Annex to Form PCT/IB/375) (revised January 2019)
NOTES TO THE FEE CALCULATION SHEET
(ANNEX TO FORM PCT/IB/375)
The purpose of the fee calculation sheet is to help the applicant to identify the prescribed fees and to calculate the amounts to be
paid. It is strongly recommended that the applicant complete, by entering the appropriate amounts in the boxes provided, and submit
the fee calculation sheet at the time of ling of the supplementary search request. This will help the International Bureau to verify
the calculations and to identify any error in them.
CALCULATION OF PRESCRIBED FEES
Two fees must be paid for supplementary international search:
(i) the supplementary search fee for the benefit of
the Authority specified for supplementary search
(Rule 45bis.3);
(ii) the supplementary search handling fee for the benefi t of
the International Bureau (Rule 45bis.2).
Both fees must be paid to the International Bureau within
one month from the date on which the request for supplementary
search was received. Payments of the fees can only be accepted in
Swiss francs. The amount payable shall be the amount applicable
on the date of payment.
Information as to the amount of those fees can be obtained
from the International Bureau. This information is also published
in the PCT Applicant’s Guide, Annex SISA, the PCT Newsletter
and in O cial Notices (PCT Gazette).
Box SS: The amount of the supplementary search fee must
be entered in Box SS.
Box SH: The amount of the supplementary search handling
fee must be entered in Box SH.
Reductions: Some Offi ces have diff erent supplementary
search fees, depending upon the documentation to be searched,
which are indicated in the PCT Fee Tables (www.wipo.int/pct/
en/fees.pdf) and the relevant Annex SISA of the PCT Applicant’s
Guide. If reduced fees apply, the reduced amount should be
indicated in the fee calculation sheet. Applicants may also be
entitled to a reduction to the supplementary search handling fee,
which is explained further below.
Reduction of the supplementary search handling fee for
applicants from certain States: An applicant who is a natural
person and who is a national of and resides in a State that is
listed as being a State whose per capita gross domestic product is
below US$ 25,000 (according to the most recent ten year average
per capita gross domestic product gures at constant 2005 US$
values published by the United Nations), and whose nationals
and residents who are natural persons have led less than 10
international applications per year (per million population) or less
than 50 international applications per year (in absolute numbers)
according to the most recent 5-year average yearly ling gures
published by the International Bureau; or an applicant, whether
a natural person or not, who is a national of and resides in a State
that is listed as being classifi ed by the United Nations as a least
developed country, is entitled, in accordance with the Schedule
of Fees, to a reduction of 90% of certain PCT fees including
the supplementary search handling fee. The applicant is only
entitled to the reduction of the supplementary search handling
fee if, at the time of fi ling of the supplementary search request,
the applicant is or all applicants are the true and only owner(s)
of the application and under no obligation to assign, grant,
convey or license the rights in the invention to another party
which is not eligible for the fee reduction. If there are several
applicants, each must satisfy the above-mentioned criteria. If
the applicant is or all applicants are entitled to the reduction of
the supplementary search handling fee, this reduction applies o
n
the basis of the indications of name, nationality and residence
given in Box No. II of the supplementary search request, without
the need for a specifi c request to be made.
The fee reduction will be available even if one or more of
the applicants are not from PCT Contracting States, provided
that each of them is a national and resident of a State that meets
the above-mentioned requirements and that at least one of the
applicants is a national or resident of a PCT Contracting State
and thus is entitled to fi le an international application.
Information about PCT Contracting States whose nationals
and residents are entitled to a reduction of 90% of certain
PCT fees, including the supplementary search handling fee, is
contained in the PCT Applicant’s Guide, Annex C and on the
WIPO website (see www.wipo.int/pct/en/), and is also published
in the O cial Notices (PCT Gazette) and the PCT Newsletter.
Calculation of the supplementary search handling fee in
case of fee reduction: Where the applicant is (or all applicants
are) entitled to a reduction of the supplementary search handling
fee, the total to be entered in Box SH is 10% of the supplementary
search handling fee.
Total Box (item 3): the total of the amounts inserted in Boxes
SS and SH is the amount which must be paid to the International
Bureau.
MODE OF PAYMENT
In order to help the International Bureau identify the mode
of payment of the prescribed fees, it is recommended to mark
the applicable check-box(es). Credit card details should not be
furnished with the request for supplementary search. Applicants
who choose credit card payment will be sent an e-mail with a
unique link to our secure E-payment system. Where an e-mail
address has been indicated, in Box No. II or III, this address will
be used. If no e-mail address has been indicated or the applicant
wishes to use an alternative e-mail address for the purposes of
E-payment, this should be indicated here.
AUTHORIZATION TO CHARGE (OR CREDIT)
CURRENT ACCOUNT
This mode of payment is only available if a current account
has been opened with the International Bureau. Information
on how to open such an account with the International Bureau
can be found on WIPO’s website: www.wipo.int/pct/en/fi ling/
account.htm. Any current account with the receiving Offi ce
cannot be charged for the purpose of paying the supplementary
search fee and the supplementary search handling fees due to
the International Bureau.
The International Bureau will not charge fees to current
accounts unless the current account authorization is signed and
indicates the current account number.
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