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First Named Inventor
COMPLETE IF KNOWN
DECLARATION FOR UTILITY OR
(37 CFR 1.63)
Submitted OR Submitted after Initial
With Initial Filing (surcharge
Filing (37 CFR 1.16 (f))
I hereby declare that: (1) Each inventor’s residence, mailing address, and citizenship are as stated below next to their name;
and (2) I believe the inventor(s) named below to be the original and first inventor(s) of the subject matter which is claimed and
for which a patent is sought on the invention entitled:
(Title of the Invention)
the specification of which
is attached hereto
was filed on (MM/DD/YYYY)
as United States Application Number or PCT International
and was amended on (MM/DD/YYYY)
I hereby state that I have reviewed and understand the contents of the above identified specification, including the claims, as
amended by any amendment specifically referred to above.
I acknowledge the duty to disclose information which is material to patentability as defined in 37 CFR 1.56, including for
continuation-in-part applications, material information which became available between the filing date of the prior application
and the national or PCT international filing date of the continuation-in-part application.