CANADA

	PETITION AND POWER OF ATTORNEY

1.  The applicant(s),                                                                           	, 
whose full address(es) is (are)	
	,
pray(s) that a patent be granted to him (them) for the invention entitled 	
	, which is described and claimed in the specification submitted herewith.

2.  The applicant(s) is (are) the sole inventor(s).
				OR
The inventor(s) is (are) 										, whose full address(es) is (are) 																			, and the applicant(s) is (are) the sole owner(s) of the right to the invention or of the whole interest in the invention in Canada.

3.  The applicant(s) claim(s) the priority of the application due to the following application, previously filed in a regular fashion:
Country :                                 Number :                                    Date : 			 

4.  The applicant(s) appoint(s) LESPÉRANCE & MARTINEAU, whose full address in Canada is 1440 ouest, Ste-Catherine, Bureau 700, Montréal, Québec, H3G 1R8, telephone (514) 861-4831, fax (514) 392-9112, Canada, to be his (their) representative in Canada according to section 29 of the patent Act.

5.  The applicant(s) appoint(s) LESPÉRANCE & MARTINEAU, whose full address is 1440 ouest, Ste-Catherine, Bureau 700, Montréal, Québec, H3G 1R8, telephone (514) 861-4831, fax (514) 392-9112, Canada, as his (their) patent agent.

6.  The applicant(s) believe(s) that he (they) is (are) entitled to the small entity status according to the section 2 of the patent Rules.

7.  The applicant(s) request(s) that figure n          of the drawings be combined to the abstract when it will be laid open for consultation under section 10 of the patent Act or published.

	Signed at 																(city)					(country)

this             day of                                   20         .

					

		
									             (applicant’s signature)

O/file / N/Dossier : 		

PETITE ENTITÉ – Définition – Canada

“ Le propriétaire de la demande de brevet ou du brevet sera considéré comme étant une "petite entité" s’il s’agit d’une université, ou d’une personne (physique ou morale) ayant 50 employés ou moins.

Sont toutefois exclues de la définition de "petite entité" les personnes physiques ou morales ayant directement ou indirectement transféré un droit sur l’invention ou octroyé une licence à l’égard de ce droit à une entité dotée de plus de 50 employés (autre qu’une université), ou ayant l’obligation de le faire. ”

DÉCLARATION DE PETITE ENTITÉ - TAXE DE DÉPÔT

Je (nous) déclare (déclarons) par les présentes que je (nous) crois (croyons) avoir le droit de payer la taxe de dépôt en vigueur en tant que petite entité au sens de l'article 2 des Règles sur les Brevets.

Fait à                                                   , ce             jour de                                      20          .

		 
	(signature)

SMALL ENTITY – Definition – Canada

“ The owner of the patent application or patent will be considered as a "small entity" if it is either a university, or an individual or a company employing fifty (50) employees or less.

Are however excluded from the definition of a "small entity", individuals or companies that have directly or indirectly transferred a right on the invention or granted a license related to this right to an entity employing more than 50 employees (other than a university), or are under an obligation to do so. ”

SMALL ENTITY DECLARATION - FILING FEE

 I (We) hereby declare that I (we) are entitled to pay the filing fee as a small entity as defined in section 2 of the Patent Rules.

Signed at                                                 , this           day of                               20           .

	
		 
	(signature)