**Instructions for Provisional Application for Patent Cover Sheet**

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE

updated May 12, 2008

+-----------------------------------+----------------------------------+
| ###                               | **Completing the Form**          |
|                                   |                                  |
| ### Contents                      | When positioning the cursor on a |
|                                   | fill-in area or element, the     |
| 1.  **PDF Form-Fillable           | cursor will change               |
|     Instructions**                | appearance. The I-beam pointer   |
|                                   | allows you to type text. The     |
| 2.  **Detailed Instructions for   | hand pointer allows you to       |
|     Fields**                      | select a check box or radio      |
|                                   | button.                          |
|     a.  **Applicant Information** |                                  |
|                                   | Enter the appropriate data in    |
|     b.  **Correspondance          | each box or field. To move from  |
|         Information**             | one field to the next, press the |
|                                   | Tab key. You can also use your   |
|     c.  **Application             | cursor to move from field to     |
|         Information**             | field. Place your cursor in the  |
|                                   | field you want to fill in, then  |
|     d.  **Representative          | left-click.                      |
|         Information**             |                                  |
|                                   | Some fields limit the maximum    |
|     e.  **Domestic                | number of characters you can     |
|         Benefit/National Stage    | enter and may automatically      |
|         Information**             | advance to the next field.       |
|                                   |                                  |
|     f.  **Foreign Priority        | For additional help with fill-in |
|         Information**             | forms, see the Adobe Reader\'s   |
|                                   | online help information.         |
|     g.  **Assignee Information**  |                                  |
|                                   | ### Tips:                        |
|     h.  **Signature**             |                                  |
|                                   | -   Use the latest version of    |
| 3.  **Country Code Table**        |     Adobe Reader in order to     |
|                                   |     ensure the form's full       |
| 4.  **WIPO ST.3 Table**           |     functionality                |
|                                   |                                  |
| 5.  **State/Province List**       | -   This fill-in form permits    |
|                                   |     the entered data to be       |
| 6.  **Active Military             |     automatically loaded into    |
|     Descriptions Table**          |     the Office's electronic      |
|                                   |     systems, such as PALM when   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |     electronically submitted.    |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |     Printing the form, scanning  |
|                                   |     it to create a PDF and       |
| ###                               |     submitting the scan of the   |
|                                   |     printed form will require    |
| ### 1. Form-Fillable Instructions |     Office Personnel to key in   |
|                                   |     the information by hand.     |
| **Overview**                      |                                  |
|                                   | -   Save a copy of your work to  |
| USPTO fill-in PDF forms use the   |     avoid loss.                  |
| features provided with Adobe      |                                  |
| Acrobat products. There is some   | -   The USPTO is only accepting  |
| validation of the information you |     certain types of             |
| enter but you are still           |     applications electronically. |
| responsible for entering all      |     Visit                        |
| required information              |     [www.u                       |
| (instructions may require some    | spto.gov](http://www.uspto.gov/) |
| information to be handwritten on  |     for more details             |
| the form).                        |                                  |
|                                   |                                  |
| **Software Requirements**         |                                  |
|                                   |                                  |
| To view, complete and print USPTO |                                  |
| fill-in PDF forms you will need   |                                  |
| the free [Adobe Acrobat           |                                  |
| Read                              |                                  |
| er](http://www.adobe.com/products |                                  |
| /acrobat/readstep2.html) software |                                  |
| installed on your computer.       |                                  |
| Version 7.0.8, 7.0.9, 8.1.1, or   |                                  |
| 8.1.2 of Adobe Reader is          |                                  |
| recommended.                      |                                  |
|                                   |                                  |
| **Opening the Form**              |                                  |
|                                   |                                  |
| Your web browser may be           |                                  |
| configured with an Adobe Reader   |                                  |
| plug-in to automatically open the |                                  |
| file within your browser\'s       |                                  |
| window upon download. To download |                                  |
| the file directly to disk, right  |                                  |
| click the form title link then    |                                  |
| select \"Save Target/Link         |                                  |
| As\...\" from the menu. Use Adobe |                                  |
| Reader to open the file.          |                                  |
+-----------------------------------+----------------------------------+

**2. Detailed Form Instructions by Field**

**Inventor Information:**

  --------------- -------------------------------------------------------
  Inventor        One who contributes to the conception of an invention.
                  The patent law of the United States of America requires
                  that the applicant in a patent application must be the
                  inventor.

  Given Name      Enter the first or given name of the inventor. If the
                  inventor has only one name, enter a period in this
                  field.

  Middle name     Enter any middle name of the inventor. (Optional)

  Family Name     Enter the last or family name of the inventor.

  City            Enter the city of the inventor's residence. REQUIRED if
                  the inventor is a U.S. resident or Non-U.S. resident.

  State           If the inventor's address is in the United States or in
                  a U.S. territory, enter the state of the inventor's
                  residence. See State/Province List for choices.

  Country         Enter the country of the inventor's residence.
                  REQUIRED. See Country Code Table for complete listing,
                  along with abbreviation.

  Additional      Joint inventors must apply for a patent jointly. Select
  Inventors       the Add button to add additional inventor information.

  Country         Enter the country of the representative's address. See
                  Country Code Table for complete listing, along with
                  abbreviation.
  --------------- -------------------------------------------------------

Application Information:

+---------------+------------------------------------------------------+
| Title of the  | The title of the invention may have up to 500        |
| Invention     | characters and it must be as short and specific as   |
|               | possible. The approved characters include:           |
|               | A-Z,0-9,standard keyboard characters plus            |
|               | ƒ,...,Œ,™,œ,Ÿ,¡,¢,£,¤,¥,§,©,ª,«,¬,®,°,±,²,³,µ,¹,º,   |
|               | »,¼,½,¾,¿,                                           |
|               | À,Á,Â                                                |
|               | ,Ã,Ä,Å,Æ,Ç,È,É,Ê,Ë,Ì,Í,Î,Ï,Ñ,Ò,Ó,Ô,Õ,Ö,Ø,Ù,Ú,Û,Ü,Ý,\ |
|               | ß,à,á,â,ã,                                           |
|               | ä,å,æ,ç,è,é,ê,ë,ì,í,î,ï,ñ,ò,ó,ô,õ,ö,÷,ø,ù,ú,û,ü,ý,ÿ, |
|               |                                                      |
|               | NOTE: Please see the EFS-Web                         |
|               | [F                                                   |
|               | AQ](http://www.uspto.gov/main/faq/p320efsw064.htm)'s |
|               | regarding using special characters in Title of       |
|               | Invention and in all the Named fields for Inventors. |
|               |                                                      |
|               | http://www.uspto.gov/main/faq/p320efsw064.htm.       |
+---------------+------------------------------------------------------+
| Attorney      | This field is optional. It may be used to enter an   |
| Docket Number | internal reference number associated with this       |
|               | submission. This field is limited to 25 characters.  |
+---------------+------------------------------------------------------+

**Correspondence Information:**

+--------------+-------------------------------------------------------+
| Direct all   | Select the radio button next to \"The address         |
| co           | corresponding to Customer Number\" or \"Firm or       |
| rrespondence | Individual Name\" to indicate where correspondence    |
| to           | should be directed.                                   |
|              |                                                       |
|              | []{.mark}                                             |
|              |                                                       |
|              | When filing an application, a correspondence address  |
|              | must be set forth in either an application data sheet |
|              | (§ 1.76), or elsewhere, in a clearly identifiable     |
|              | manner, in any paper submitted with an application    |
|              | filing. If no correspondence address is specified,    |
|              | the Office may treat the mailing address of the first |
|              | named inventor (if provided, see §§ 1.76(b)(1) and    |
|              | 1.63(c)(2)) as the correspondence address. The Office |
|              | will direct all notices, official letters, and other  |
|              | communications relating to the application to the     |
|              | correspondence address. The Office will not engage in |
|              | double correspondence with an applicant and a         |
|              | registered attorney or agent, or with more than one   |
|              | registered attorney or agent except as deemed         |
|              | necessary by the Director. If more than one           |
|              | correspondence address is specified, the Office will  |
|              | establish one as the correspondence address. For the  |
|              | party to whom correspondence is to be addressed, a    |
|              | daytime telephone number should be supplied in a      |
|              | clearly identifiable manner and may be changed by any |
|              | party who may change the correspondence address.      |
+--------------+-------------------------------------------------------+
| Customer     | Enter the customer number associated with the address |
| Number       | where correspondence in this application should be    |
|              | sent.                                                 |
|              |                                                       |
|              | A number assigned by the Office that is used to       |
|              | simplify the submission of an address change, to      |
|              | appoint a practitioner, or to designate the fee       |
|              | address for a patent. *Customer numbers* are          |
|              | primarily used by attorneys and law firms, and must   |
|              | be requested using the [***\"Request for Customer     |
|              | Number\" form                                         |
|              | (PTO/SB                                               |
|              | /125***)](http://www.uspto.gov/web/forms/index.html). |
|              | (Previously referred to as \"*payor number*\") -      |
+--------------+-------------------------------------------------------+
| Firm or      | Enter the name for the correspondence address.        |
| Individual   |                                                       |
| Name-1       |                                                       |
+--------------+-------------------------------------------------------+
| Firm or      | Enter any additional name information for the         |
| Individual   | address.                                              |
| Name-2       |                                                       |
+--------------+-------------------------------------------------------+
| Address-1    | Enter the first line of the correspondence address.   |
+--------------+-------------------------------------------------------+
| Address-2    | Enter the second line of the correspondence address.  |
+--------------+-------------------------------------------------------+
| City         | Enter the city for the correspondence address.        |
+--------------+-------------------------------------------------------+
| State /      | If the correspondence address is located in the       |
| Province     | United States or in a U.S. territory, enter the state |
|              | for the correspondence address. REQUIRED for a        |
|              | correspondence address that is in the United States   |
|              | or U.S. territories. See State/Province List for      |
|              | choices.                                              |
+--------------+-------------------------------------------------------+
| Country      | Enter the country of the correspondence address. See  |
|              | Country Code Table for complete listing, along with   |
|              | abbreviation.                                         |
+--------------+-------------------------------------------------------+
| Postal Code  | Enter the 5 - 9 digit postal code for the             |
|              | correspondence address. Entry of a postal code for    |
|              | foreign countries is optional.                        |
+--------------+-------------------------------------------------------+

U.S. Government Agency:

  ---------------- ------------------------------------------------------
  U.S. Government  Select whether invention was made by an agency of the
                   United States Government or under a contract with an
                   agency of the United States Government. If yes,
                   provide the Government contract number.

  ---------------- ------------------------------------------------------

Entity Status:

  ---------------- ------------------------------------------------------------------------------------------
  Entity Status    For purposes of small entity determination per [*MPEP
                   509.02*](http://www.uspto.gov/web/offices/pac/mpep/documents/0500_509_02.htm#sect509.02)
                   -- small entity means an independent inventor, a small business concern, or a nonprofit
                   organization eligible for reduced patent fees.

  ---------------- ------------------------------------------------------------------------------------------

Signature:

  ---------------- ------------------------------------------------------
  Signature        This signature is an electronic legal signature. The
                   individual named MUST add a signature. Electronic
                   signature should be in the format /###/ where \# is
                   alpha-numeric, space or punctuation (but not / or ?),
                   it cannot just have space or punctuations. Example:
                   \"/John Doe/\". For more information see 37 CFR
                   1.4(d).

  Date             Enter the date that the submission is being signed.
                   Or, select the date from the drop-down menu, which
                   converts into a calendar. The date format should be in
                   the form YYYY-MM-DD.

  First Name       Type the first name of the filer.

  Last Name        Type the last name of the filer

  Registration     Please enter a Registration Number if you are a patent
  Number           practitioner.
  ---------------- ------------------------------------------------------

3\. Country Code Table

  ----------------------------------------------------------- -----------
  COUNTRY                                                     CODE

  AFGHANISTAN                                                 AF

  ALBANIA                                                     AL

  ALGERIA                                                     DZ

  ANDORRA                                                     AD

  ANGOLA                                                      AO

  ANGUILLA                                                    AI

  ANTARCTICA                                                  AQ

  ANTIGUA AND BARBUDA                                         AG

  ARGENTINA                                                   AR

  ARMENIA                                                     AM

  ARUBA                                                       AW

  AUSTRALIA                                                   AU

  AUSTRIA                                                     AT

  AZERBAIJAN                                                  AZ

  BAHAMAS                                                     BS

  BAHRAIN                                                     BH

  BANGLADESH                                                  BD

  BARBADOS                                                    BB

  BELARUS                                                     BY

  BELGIUM                                                     BE

  BELIZE                                                      BZ

  BENIN                                                       BJ

  BERMUDA                                                     BM

  BHUTAN                                                      BT

  BOLIVIA                                                     BO

  BOSNIA AND HERZEGOVINA                                      BA

  BOTSWANA                                                    BW

  BOUVET ISLAND                                               BV

  BRAZIL                                                      BR

  BRITISH INDIAN OCEAN TERRITORY                              IO

  BRUNEI DARUSSALAM                                           BN

  BULGARIA                                                    BG

  BURKINA FASO                                                BF

  BURUNDI                                                     BI

  CAMBODIA                                                    KH

  CAMEROON                                                    CM

  CANADA                                                      CA

  CANTON AND ENDERBURY ISLANDS                                CT

  CAPE VERDE                                                  CV

  CAYMAN ISLANDS                                              KY

  CENTRAL AFRICAN REPUBLIC                                    CF

  CHAD                                                        TD

  CHILE                                                       CL

  CHINA                                                       CN

  CHRISTMAS ISLAND                                            CX

  COCOS (KEELING) ISLANDS                                     CC

  COLOMBIA                                                    CO

  COMOROS                                                     KM

  CONGO                                                       CG

  CONGO, THE DEMOCRATIC REPUBLIC OF THE                       CD

  COOK ISLANDS                                                CK

  COSTA RICA                                                  CR

  COTE D\'IVOIRE                                              CI

  CROATIA                                                     HR

  CUBA                                                        CU

  CYPRUS                                                      CY

  CZECH REPUBLIC                                              CZ

  CZECHOSLOVAKIA                                              CS

  DENMARK                                                     DK

  DJIBOUTI                                                    DJ

  DOMINICA                                                    DM

  DOMINICAN REPUBLIC                                          DO

  DRONNING MAUD LAND                                          NQ

  EAST TIMOR                                                  TP

  ECUADOR                                                     EC

  EGYPT                                                       EG

  EL SALVADOR                                                 SV

  EQUATORIAL GUINEA                                           GQ

  ERITREA                                                     ER

  ESTONIA                                                     EE

  ETHIOPIA                                                    ET

  FALKLAND ISLANDS (MALVINAS)                                 FK

  FAROE ISLANDS                                               FO

  FIJI                                                        FJ

  FINLAND                                                     FI

  FRANCE                                                      FR

  FRENCH GUIANA                                               GF

  FRENCH POLYNESIA                                            PF

  FRENCH SOUTHERN AND ANTARCTIC TERRITORIES                   FQ

  FRENCH SOUTHERN TERRITORIES                                 TF

  GABON                                                       GA

  GAMBIA                                                      GM

  GEORGIA                                                     GE

  GERMAN DEMOCRATIC REPUBLIC                                  DD

  GERMANY                                                     DE

  GHANA                                                       GH

  GIBRALTAR                                                   GI

  GREECE                                                      GR

  GREENLAND                                                   GL

  GRENADA                                                     GD

  GUADELOUPE                                                  GP

  GUATEMALA                                                   GT

  GUINEA                                                      GN

  GUINEA-BISSAU                                               GW

  GUYANA                                                      GY

  HAITI                                                       HT

  HEARD ISLAND AND MCDONALD ISLANDS                           HM

  HOLY SEE (VATICAN CITY STATE)                               VA

  HONDURAS                                                    HN

  HONG KONG                                                   HK

  HUNGARY                                                     HU

  ICELAND                                                     IS

  INDIA                                                       IN

  INDONESIA                                                   ID

  IRAN, ISLAMIC REPUBLIC OF                                   IR

  IRAQ                                                        IQ

  IRELAND                                                     IE

  ISRAEL                                                      IL

  ITALY                                                       IT

  JAMAICA                                                     JM

  JAPAN                                                       JP

  JORDAN                                                      JO

  KAZAKSTAN                                                   KZ

  KENYA                                                       KE

  KIRIBATI                                                    KI

  KOREA, DEMOCRATIC PEOPLE\'S REPUBLIC OF                     KP

  KOREA, REPUBLIC OF                                          KR

  KUWAIT                                                      KW

  KYRGYZSTAN                                                  KG

  LAO PEOPLE\'S DEMOCRATIC REPUBLIC                           LA

  LATVIA                                                      LV

  LEBANON                                                     LB

  LESOTHO                                                     LS

  LIBERIA                                                     LR

  LIBYAN ARAB JAMAHIRIYA                                      LY

  LIECHTENSTEIN                                               LI

  LITHUANIA                                                   LT

  LUXEMBOURG                                                  LU

  MACAU                                                       MO

  MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF                  MK

  MADAGASCAR                                                  MG

  MALAWI                                                      MW

  MALAYSIA                                                    MY

  MALDIVES                                                    MV

  MALI                                                        ML

  MALTA                                                       MT

  MARSHALL ISLANDS                                            MH

  MARTINIQUE                                                  MQ

  MAURITANIA                                                  MR

  MAURITIUS                                                   MU

  MAYOTTE                                                     YT

  MEXICO                                                      MX

  MIRCRONESIA, FEDERATED STATES OF                            FM

  MOLDOVA, REPUBLIC OF                                        MD

  MONACO                                                      MC

  MONGOLIA                                                    MN

  MONTSERRAT                                                  MS

  MOROCCO                                                     MA

  MOZAMBIQUE                                                  MZ

  MYANMAR                                                     MM

  NAMIBIA                                                     NA

  NAURU                                                       NR

  NEPAL                                                       NP

  NETHERLANDS                                                 NL

  NETHERLANDS ANTILLES                                        AN

  NEUTRAL ZONE                                                NT

  NEW CALEDONIA                                               NC

  NEW ZEALAND                                                 NZ

  NICARAGUA                                                   NI

  NIGER                                                       NE

  NIGERIA                                                     NG

  NIUE                                                        NU

  NORFOLK ISLAND                                              NF

  NORWAY                                                      NO

  NOT PROVIDED                                                XP

  OMAN                                                        OM

  PACIFIC ISLANDS (TRUST TERRITORY)                           PC

  PAKISTAN                                                    PK

  PALAU                                                       PW

  PANAMA                                                      PA

  PANAMA CANAL ZONE                                           PZ

  PAPUA NEW GUINEA                                            PG

  PARACEL ISLANDS                                             QP

  PARAGUAY                                                    PY

  PERU                                                        PE

  PHILIPPINES                                                 PH

  PITCAIRN                                                    PN

  POLAND                                                      PL

  PORTUGAL                                                    PT

  QATAR                                                       QA

  REUNION                                                     RE

  ROMANIA                                                     RO

  RUSSIAN FEDERATION                                          RU

  RWANDA                                                      RW

  SAINT HELENA                                                SH

  SAINT KITTS AND NEVIS                                       KN

  SAINT LUCIA                                                 LC

  SAINT PIERRE AND MIQUELON                                   PM

  SAINT VINCENT AND THE GRENADINES                            VC

  SAMOA                                                       WS

  SAN MARINO                                                  SM

  SAO TOME AND PRINCIPE                                       ST

  SAUDI ARABIA                                                SA

  SENEGAL                                                     SN

  SEYCHELLES                                                  SC

  SIERRA LEONE                                                SL

  SINGAPORE                                                   SG

  SLOVAKIA                                                    SK

  SLOVENIA                                                    SI

  SOLOMON ISLANDS                                             SB

  SOMALIA                                                     SO

  SOUTH AFRICA                                                ZA

  SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS                GS

  SPAIN                                                       ES

  SRI LANKA                                                   LK

  STATELESS                                                   ZZ

  SUDAN                                                       SD

  SURINAME                                                    SR

  SVALBARD AND JAN MAYEN                                      SJ

  SWAZILAND                                                   SZ

  SWEDEN                                                      SE

  SWITZERLAND                                                 CH

  SYRIAN ARAB REPUBLIC                                        SY

  TAIWAN                                                      TW

  TAJIKISTAN                                                  TJ

  TANZANIA, UNITED REPUBLIC OF                                TZ

  THAILAND                                                    TH

  TOGO                                                        TG

  TOKELAU                                                     TK

  TONGA                                                       TO

  TRINIDAD AND TOBAGO                                         TT

  TUNISIA                                                     TN

  TURKEY                                                      TR

  TURKMENISTAN                                                TM

  TURKS AND CAICOS ISLANDS                                    TC

  TUVALU                                                      TV

  UGANDA                                                      UG

  UKRAINE                                                     UA

  UNION OF SOVIET SOCIALIST REPUBLICS                         SU

  UNITED ARAB EMIRATES                                        AE

  UNITED KINGDOM                                              GB

  UNITED STATES                                               US

  URUGUAY                                                     UY

  UZBEKISTAN                                                  UZ

  VANUATU                                                     VU

  VENEZUELA                                                   VE

  VIET NAM                                                    VN

  VIET-NAM, DEMOCRATIC REPUBLIC OF                            VD

  VIRGIN ISLANDS, BRITISH                                     VG

  WALLIS AND FUTUNA                                           WF

  WESTERN SAHARA                                              EH

  YEMEN                                                       YE

  YEMEN, DEMOCRATIC                                           YD

  YUGOSLAVIA                                                  YU

  ZAMBIA                                                      ZM

  ZIMBABWE                                                    ZW
  ----------------------------------------------------------- -----------

4\. WIPO ST.3 Table

  ----------------------------------------------------------- -----------
  COUNTRY                                                     CODE

  ANDORRA                                                     AD

  UNITED ARAB EMIRATES                                        AE

  AFGHANISTAN                                                 AF

  ALGERIA                                                     DZ

  ANTIGUA AND BARBUDA                                         AG

  ANGUILLA                                                    AI

  ARMENIA                                                     AM

  ALBANIA                                                     AL

  NETHERLANDS ANTILLES                                        AN

  ANGOLA                                                      AO

  AFRICAN REGIONAL INDUSTRIAL PROPERTY ORGANIZATION (ARIPO)   AP

  ARGENTINA                                                   AR

  AUSTRALIA                                                   AU

  ARUBA                                                       AW

  AZERBAIJAN                                                  AZ

  BANGLADESH                                                  BD

  BOSNIA AND HERZEGOVINA                                      BA

  BAHRAIN                                                     BH

  BARBADOS                                                    BB

  BELGIUM                                                     BE

  BULGARIA                                                    BG

  BHUTAN                                                      BT

  BURUNDI                                                     BI

  BERMUDA                                                     BM

  BRUNEI DARUSSALAM                                           BN

  BOLIVIA                                                     BO

  BRAZIL                                                      BR

  BAHAMAS                                                     BS

  BOTSWANA                                                    BW

  MYANMAR                                                     MM

  BOUVET ISLAND                                               BV

  BENELUX TRADEMARK OFFICE (BBDM) AND BENELUX DESIGNS OFFICE  BX
  (BBDM)                                                      

  BELARUS                                                     BY

  BELIZE                                                      BZ

  CANADA                                                      CA

  DEMOCRATIC REPUBLIC OF THE CONGO                            CD

  CHILE                                                       CL

  CONGO                                                       CG

  SWITZERLAND                                                 CH

  COTE D\'IVOIRE                                              CI

  COOK ISLANDS                                                CK

  SRI LANKA                                                   LK

  COLOMBIA                                                    CO

  COSTA RICA                                                  CR

  CUBA                                                        CU

  HOLY SEE                                                    VA

  CAPE VERDE                                                  CV

  CYPRUS                                                      CY

  CZECH REPUBLIC                                              CZ

  BENIN                                                       BJ

  DJIBOUTI                                                    DJ

  DENMARK                                                     DK

  DOMINICA                                                    DM

  DOMINICAN REPUBLIC                                          DO

  GERMANY                                                     DE

  ETHIOPIA                                                    ET

  EURASIAN PATENT ORGANIZATION (EAPO)                         EA

  ECUADOR                                                     EC

  ESTONIA                                                     EE

  WESTERN SAHARA                                              EH

  IRELAND                                                     IE

  EUROPEAN (EU) OFFICE FOR HARMONIZATION IN THE INTERNAL      EM
  MARKET (OHIM)                                               

  EUROPEAN PATENT OFFICE (EPO)                                EP

  ERITREA                                                     ER

  SPAIN                                                       ES

  EGYPT                                                       EG

  FIJI                                                        FJ

  FALKLAND ISLANDS (MALVINAS)                                 FK

  LIECHTENSTEIN                                               LI

  FAROE ISLANDS                                               FO

  FRANCE                                                      FR

  GABON                                                       GA

  UNITED KINGDOM                                              GB

  PATENT OFFICE OF THE COOPERATION COUNCIL FOR THE ARAB       GC
  STATES OF THE GULF (GCC)                                    

  GRENADA                                                     GD

  GAMBIA                                                      GM

  GEORGIA                                                     GE

  GHANA                                                       GH

  GUINEA                                                      GN

  GIBRALTAR                                                   GI

  GREENLAND                                                   GL

  EQUATORIAL GUINEA                                           GQ

  GREECE                                                      GR

  SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS                GS

  GUATEMALA                                                   GT

  GUINEA-BISSAU                                               GW

  GUYANA                                                      GY

  HAITI                                                       HT

  THE HONG KONG SPECIAL ADMINISTRATIVE REGION OF THE          HK
  PEOPLE\'S REPUBLIC OF CHINA                                 

  HONDURAS                                                    HN

  CROATIA                                                     HR

  HUNGARY                                                     HU

  INTERNATIONAL BUREAU OF THE WORLD INTELLECTUAL PROPERTY     IB
  ORGANIZATION (WIPO)                                         

  INDONESIA                                                   ID

  ISRAEL                                                      IL

  INDIA                                                       IN

  IRAQ                                                        IQ

  IRAN, ISLAMIC REPUBLIC OF                                   IR

  ICELAND                                                     IS

  ITALY                                                       IT

  JAPAN                                                       JP

  JAMAICA                                                     JM

  JORDAN                                                      JO

  CAMEROON                                                    CM

  KENYA                                                       KE

  KYRGYZSTAN                                                  KG

  KIRIBATI                                                    KI

  COMOROS                                                     KM

  DEMOCRATIC PEOPLE\'S REPUBLIC OF KOREA                      KP

  SAINT KITTS AND NEVIS                                       KN

  REPUBLIC OF KOREA                                           KR

  KUWAIT                                                      KW

  CAYMAN ISLANDS                                              KY

  KAZAKHSTAN                                                  KZ

  LAOS                                                        LA

  LEBANON                                                     LB

  SAINT LUCIA                                                 LC

  LIBERIA                                                     LR

  LESOTHO                                                     LS

  LITHUANIA                                                   LT

  LUXEMBOURG                                                  LU

  LATVIA                                                      LV

  LIBYA                                                       LY

  MOROCCO                                                     MA

  MONACO                                                      MC

  MADAGASCAR                                                  MG

  REPUBLIC OF MOLDOVA                                         MD

  MALI                                                        ML

  THE FORMER YUGOSLAV REPUBLIC OF MACEDONIA                   MK

  MALTA                                                       MT

  MONGOLIA                                                    MN

  MACAU                                                       MO

  NORTHERN MARIANA ISLANDS                                    MP

  MAURITIUS                                                   MU

  MONTSERRAT                                                  MS

  MAURITANIA                                                  MR

  OMAN                                                        OM

  MALDIVES                                                    MV

  MALAWI                                                      MW

  MEXICO                                                      MX

  MALAYSIA                                                    MY

  MOZAMBIQUE                                                  MZ

  NICARAGUA                                                   NI

  NAMIBIA                                                     NA

  NIGER                                                       NE

  NETHERLANDS                                                 NL

  NORWAY                                                      NO

  NEPAL                                                       NP

  NAURU                                                       NR

  NEW ZEALAND                                                 NZ

  AFRICAN INTELLECTUAL PROPERTY ORGANIZATION (OAPI)           OA

  AUSTRIA                                                     AT

  PERU                                                        PE

  PARAGUAY                                                    PY

  PHILIPPINES                                                 PH

  PAKISTAN                                                    PK

  PANAMA                                                      PA

  POLAND                                                      PL

  PAPUA NEW GUINEA                                            PG

  PORTUGAL                                                    PT

  PALAU                                                       PW

  QATAR                                                       QA

  CHINA                                                       CN

  ROMANIA                                                     RO

  RUSSIAN FEDERATION                                          RU

  RWANDA                                                      RW

  SAUDI ARABIA                                                SA

  SOLOMON ISLANDS                                             SB

  SEYCHELLES                                                  SC

  SUDAN                                                       SD

  FINLAND                                                     FI

  SINGAPORE                                                   SG

  SAINT HELENA                                                SH

  SLOVENIA                                                    SI

  SLOVAKIA                                                    SK

  EL SALVADOR                                                 SV

  SAN MARINO                                                  SM

  SENEGAL                                                     SN

  SOMALIA                                                     SO

  SYRIA                                                       SY

  SURINAME                                                    SR

  SAO TOME AND PRINCIPE                                       ST

  SWEDEN                                                      SE

  SWAZILAND                                                   SZ

  UNITED REPUBLIC OF TANZANIA                                 TZ

  TURKS AND CAICOS ISLANDS                                    TC

  TRINIDAD AND TOBAGO                                         TT

  THAILAND                                                    TH

  TONGA                                                       TO

  TAJIKISTAN                                                  TJ

  TURKMENISTAN                                                TM

  TUNISIA                                                     TN

  TOGO                                                        TG

  EAST TIMOR                                                  TP

  TURKEY                                                      TR

  CHAD                                                        TD

  TUVALU                                                      TV

  TAIWAN                                                      TW

  UKRAINE                                                     UA

  UGANDA                                                      UG

  UNITED STATES OF AMERICA                                    US

  BURKINA FASO                                                BF

  URUGUAY                                                     UY

  UZBEKISTAN                                                  UZ

  SAINT VINCENT AND THE GRENADINES                            VC

  VENEZUELA                                                   VE

  VIRGIN ISLANDS, BRITISH                                     VG

  VIET NAM                                                    VN

  VANUATU                                                     VU

  SIERRA LEONE                                                SL

  NIGERIA                                                     NG

  WORLD INTELLECTUAL PROPERTY ORGANIZATION (WIPO)             WO
  (INTERNATIONAL BUREAU OF)                                   

  SAMOA                                                       WS

  YUGOSLAVIA                                                  YU

  SOUTH AFRICA                                                ZA

  ZAMBIA                                                      ZM

  CENTRAL AFRICAN REPUBLIC                                    CF

  CAMBODIA                                                    KH

  ZIMBABWE                                                    ZW

  YEMEN                                                       YE

  EUROPEAN (EU) COMMUNITY PLANT VARIETY OFFICE (CPVO)         QZ
  ----------------------------------------------------------- -----------

5\. State/Province List

  -------------------------------------------------------------- --------
  U.S. State / U.S. territories / Canadian Provinces             Code

  ALABAMA                                                        AL

  ALASKA                                                         AK

  ALBERTA                                                        AB

  AMERICAN SAMOA                                                 AS

  ARIZONA                                                        AZ

  ARKANSAS                                                       AR

  Armed Forces in Americas excluding Canada                      AA

  Armed Forces in Europe, the Middle East, Africa, and Canada    AE

  Armed Forces in the Pacific                                    AP

  BAKER ISLAND                                                   81

  BRITISH COLUMBIA                                               BC

  CALIFORNIA                                                     CA

  CHANNEL ISLANDS                                                CHA

  COLORADO                                                       CO

  CONNECTICUT                                                    CT

  DELAWARE                                                       DE

  DISTRICT OF COLUMBIA                                           DC

  FLORIDA                                                        FL

  GEORGIA                                                        GA

  GUAM                                                           GU

  HAWAII                                                         HI

  HOWLAND ISLAND                                                 84

  IDAHO                                                          ID

  ILLINOIS                                                       IL

  INDIANA                                                        IN

  IOWA                                                           IA

  JARVIS ISLAND                                                  86

  JOHNSTON ATOLL                                                 67

  KANSAS                                                         KS

  KENTUCKY                                                       KY

  KINGMAN REEF                                                   89

  LOUISIANA                                                      LA

  MAINE                                                          ME

  MANITOBA                                                       MB

  MARYLAND                                                       MD

  MASSACHUSETTS                                                  MA

  MICHIGAN                                                       MI

  MIDWAY ISLANDS                                                 71

  MINNESOTA                                                      MN

  MISSISSIPPI                                                    MS

  MISSOURI                                                       MO

  MONTANA                                                        MT

  NAVASSA ISLAND                                                 76

  NEBRASKA                                                       NE

  NEVADA                                                         NV

  NEW BRUNSWICK                                                  NB

  NEW HAMPSHIRE                                                  NH

  NEW JERSEY                                                     NJ

  NEW MEXICO                                                     NM

  NEW YORK                                                       NY

  NEWFOUNDLAND                                                   NF

  NORTH CAROLINA                                                 NC

  NORTH DAKOTA                                                   ND

  NORTHWEST TERRITORIES                                          NT

  NOVA SCOTIA                                                    NS

  NUNAVUT                                                        NU

  OHIO                                                           OH

  OKLAHOMA                                                       OK

  ONTARIO                                                        ON

  OREGON                                                         OR

  PALMYRA ATOLL                                                  95

  PENNSYLVANIA                                                   PA

  PRINCE EDWARD ISLAND                                           PE

  PUERTO RICO                                                    PR

  QUEBEC                                                         QC

  RHODE ISLAND                                                   RI

  SASKATCHEWAN                                                   SK

  SOUTH CAROLINA                                                 SC

  SOUTH DAKOTA                                                   SD

  TENNESSEE                                                      TN

  TEXAS                                                          TX

  UNITED STATES MINOR OUTLYING ISLANDS                           UM

  UTAH                                                           UT

  VERMONT                                                        VT

  VIRGIN ISLANDS, U.S.                                           VI

  VIRGINIA                                                       VA

  WAKE ISLAND                                                    79

  WASHINGTON                                                     WA

  WEST VIRGINIA                                                  WV

  WISCONSIN                                                      WI

  WYOMING                                                        WY

  YUKON TERRITORY                                                YT
  -------------------------------------------------------------- --------

6\. Active Military Descriptions Table

  ------- ---------------------------------------------------------------
  AE      The inventor is serving in Europe or Africa

  AP      The inventor is serving in the Pacific

  AA      The inventor is serving in the Americas excluding Canada
  ------- ---------------------------------------------------------------