Application Form

Agreement Fee revised on 1st January 2010

IMPORTANT: IF THIS IS AN APPEAL OR TRANSFER PLEASE USE EITHER THE APPEAL NOTIFICATION OR TRANSFER FORM

*Required fields *Optional fields
Details of Patent that is to be Opposed:

*Name of Patent Proprietor:
*Title of Invention: (Can be completed in English, French or German)
*Country where Patent granted:
*Number of Patent:
This must be the unique 7 digit patent number only
*Date of Patent: DD/MM/YY
*Expiry of Opposition Period: DD/MM/YY
*Your Reference:
   
Details of Company/Firm of Patent Attorney or any other legal representative entitled to act before the European Patent Office:
*Name of Company/Firm:
Name of EPA is not required
*Address:
*Telephone:
*Fax:
*E-mail:
Details of Opponent
Name of Opponent: Strawman Limited
Address of Opponent: 34 Lovedon Lane
Winchester
Hampshire
SO23 7NU

* On completion and submission of this Application Form, the Company/Firm hereby acknowledges and agrees to be bound by The Agreement.

* On completion and submission of this Application Form you hereby confirm that the representative, of the Company/Firm is duly qualified to act before the European Patent Office.

* On completion and submission of this Application Form, the Company/Firm hereby confirms that the patent owner has not instructed them to file an opposition against the patent.

On completion and submission of this Application Form, Strawman Limited allows the Company/Firm to use the name of Strawman Limited as an opponent against the patent.

Once the opposition is filed, Strawman Limited will invoice the above specified Company/Firm for the Agreement Fee.

Please print this form for your own records prior to submitting to Strawman Limited


Strawman and the Strawman logo are trademarks of Strawman Ltd
Registered Office: Winnington House, 2 Woodberry Grove, North Finchley, London N12 0DR. Company number: 3825903