Kazakhstan

Inv-9 Form Annex 9

To the Instruction for drawing up, registration and

pendency of an application for delivery of patent for the

invention at State Enterprise “National Institute of

Intellectual Property” Committee for Intellectual

Property rights of the Ministry of Justice

of the Republic of Kazakhstan

010000, Astana, Left bank, House of Ministries,

8, Orynbor street, Entrance 13B, Body 4

REQUEST

for extension of action of the invention patent

In accordance with paragraphs 3 of Article 5 of Patent Law you are requested to extend the

Action of the Patent with № _______________________________________________

(number of patent )

(name of invention)

for following years:

□ - 21 years □ - 22 years □ - 23 years □ - 24 years □ – 25years

Note : □ the payment document for document preparation on the occasion for keeping a patent in force and publication an extension information of patent ___________________________________________________

(№ of document and date of payment)

□ the payment document for keeping a patent in force ______for year _________________________________________________

(№ of document and date of payment)

Patent holder _______________ _________________________

(signature) (name, surname)

(L.S.)