ASSIGNMENT OF APPLICATION FOR LETTERS PATENT

(Entire interest/Aliquot or Aliquant part of entire interest in

Invention/Utility Model/Design)

KNOW ALL MEN BY THESE PRESENTS:

This ASSIGNMENT OF APPLICATION FOR LETTERS PATENTS for an/a __________________________

(Title of Invention/Utility Model/Design)

execute by and between:

[Name of Applicant(s)/Assignor(s)]

of
[Address(es) of Applicant(s)/Assignor(s)]

hereinafter called the ASSIGNOR(S), and

[Name of Assignee(s))

of
[Address(es) of Assignee(s)]

hereinafter called the ASSIGNEE(S).

WITNESSETH:

1. That the ASSIGNOR(S) has/have obtained letters patent of the Philippines for an/a ______________

(Title of Invention/Utility Model/Design)

for which he/she/it/they has/have filed applications for letters patent of the Philippines, Application Serial No. _______
filed on _______________, 20 ____, in the IntellectualProperty Office;

2. That the ASSIGNEE(S) is/are desirous of acquiring an interest therein;

3. That good and valuable consideration, receipt of which is hereby acknowledged, the ASSIGNOR(S)
does/do hereby sell, assign, and transfer unto the said ASSIGNEE(S) the

(Entire interest/Aliquot or Aliquant part of the entire interest)

of the right, title and interest in and to the Invention/Utility Model/Design and in and to the application for
letters patent aforesaid for, to and in the

(Territory of the Philippines and/or in all foreign countries)

and for, to, or no other place or places, preparatory to obtaining letters patent that may thereafter be granted to
beheld and enjoyed by the ASSIGNEE(S) hereof for his/her/its/their own use and behalf, and for his/her/its/their
legal representatives, to the full end of the term for which said letters patent may be granted, as fully and entirely
as the same would have been held by the ASSIGNOR(S) herein had this Assignment and sale not been made; and

4. That the ASSIGNEE(S) by virtue hereof, does/do hereby appoint

of
as his/her/its/their attorney and/or agent and representative in the Philippines, to facilitate the recording of this
Assignment, to prosecute the subject application for letters patent, to receive the Letter Patent, to transact all
business in the Intellectual Property Office in connection therewith, and upon whom may be serve the corresponding
notices or processes, thereof.
 5.The ASSIGNOR(S) is/are big [ ]/small [ ] entity(ies).

The ASSIGNEE(S) is are big [ ] /small [ ] entity(ies).

6. This [ ] is/ [ ] is not a first assignment of Patent from a small to a big entity.

In WITNESS WHEREOF, THE undersigned ASSIGNOR(S) and ASSIGNEE(S) have executed these present this
____________ day of ______________, 20____ at ______________________.

ASSIGNOR(S) ASSIGNEE(S)

Signed in the Presence of :

______________________________ ____________________________
WITNESS WITNESS

Invention Utility Model/Design

Small Big Small Big

(a) Recordal of 1st assignment of P5,500.00 P3,000.00

application from small to big
entity, plus publication fee (at cost; minimum: P960.00)

(b) Legal Research Fund 1% of the total remitted amount but in no case less than P2.00
_______________________________________
Payment of fees depend upon whether the entity is small or big.

* Publication fee of Php 960.00 for issued/granted patents.

* A small entity shall be construed as any business enterprise engaged in any business activity or industry, agri-business
whether single proprietorship, cooperative, partnership or corporation, whose total asset is One hundred million pesos
(100,000,000.00) or less; otherwise it shall be considered as a big entity.

An applicant shall be presumed a big entity except when a sworn statement claiming the contrary.

ACKNOWLEDGEMENT

_____________________): S.S.
_____________________)

BEFORE ME, Notary Public for and in _______________________________________________________

________________________________________________________________________________________________
personally appeared: ______________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
known to me to be same persons who execute the foregoing instrument, and they acknowledged to me that the same is
their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal this _______________day
________________, 20_____, at ______________________________________, Philippines.

NOTARY PUBLIC

Doc. No. ___________________;

Page No. ___________________;
Book No. ___________________;
Series of ___________________;