"RCT International Application" Applicant's or Agent's File Reference (indicated by applicant if desired) Box. No. I. TITLE OF INVENTION Box. No. II. APPLICANT (Whether or not also inventor); designated states for which he/she/it is applicant. Use this box for indicating the applicant or, if there are several applicants, one of them. If more than one person (includes, where applicable, a legal entity) is involved, continue in Box No. III. Telephone number: (including area code) Telegraphic address: Teleprint address: Country of nationality: Country of residence: The person identified in this box is applicant for the purpose (check one only): all designated States all designated States except the United States of America the United States of America only the States indicated in the "Supplemental Box" Box No. III. Further applicants, if any; (further) inventors, if any; designated States for which they are applicants (if applicable). A separate sub-box has to be filled in respect of each person (includes, where applicable, a legal entity). If the following two sub-boxes are insufficient, continue in the "Supplemental Box" (giving there for each additional person the same indications as those requested in the following two sub-boxes) or by 'using a "continuation sheet". If the person indicated as "applicant and inventor" or as "inventor only" is not an inventor for the purposes of all the designated States, give the necessary indications in the "Supplemental box". Indicate name of a natural person by giving his/her family name first followedby the given name (s). Indicate the name of a legal entity by its full official designation. In the address, in elude both the postal code (if any) and the country (name). If residence is not indicated, it will be assumed that the country of residence is the same as the country indicated in the address. Box No. IV. Agent (if any) or common representative (if any); address for notifications (in certain cases). A common representative may be appointed only if there are several applicants and if no agent is or has been appointed; the common representative must be one of the applicants. The following person (includes, where applicable, a legal entity) is hereby/has been appointed as agent or common representative to act on behalf of the applicant (s) before the competent International Authorities: Name and address, including postal code and country ( if the space below is used instead of an address for notification, check here): An address for the sending of notifications for the sole applicant or for a common representative may be indicated if no agent has not been appointed to represent the applicant or, if there are several applicants, all of them. Box No. V. Designation of States; possible choice of European patent; possible choices of certain kinds of treatment. Where the name of a State is followed by two check boxes, either or both of the boxes may be checked. The ch...
