Patent Registration Form

PATENT REGISTRATION Form

Please fill the form below
Referrer ID
Full Name of Applicant*

First NameMiddle NameLast Name
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Date of Birth*

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E-mail*
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Indicate Nationality*
Residential Address (address for service in Nigeria if your address is outside Nigeria)*

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Description of the relevant invention with any appropriate plans/drawings*

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A specification, including a claim(s)*

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Where appropriate, a declaration signed by the true inventor requesting that he be mentioned as such in the patent and giving his name and address

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Snapshot or scanned copy of applicant's ID*

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Please note the following:
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- The valid ID can be any of the following: Driver's license/PVC/National ID card/Intn'l passport/Birth Certificate (for minors).
- This form is for a single patent application.
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PATENT REGISTRATION Form