Public Servants Inventions Regulations — (1)
Sheweth: (1) That your petitioner(s) (and name(s) of inventor(s) who (is) (are) not (a) public servant(s) made the invention entitled which is described and claimed in the specification submitted herewith. (2) That the said invention was made while your petitioner(s) (was) (were) employed as (a) public servant(s) as defined in the Public Servants Inventions Act in (the Department of) and, pursuant to section 5 of that Act, the said invention has been determined to be (not) (jointly) vested in Her Majesty in right of Canada as represented by the Minister of (and the person(s) named in paragraph (1)). OR (2) That the said invention was made while your petitioner(s) (was) (were) employed as (a) public servant(s) as defined in the Public Servants Inventions Act in (the Department of) (and) (but) in accordance with section 3 of that Act your petitioner(s) verily believe(s) that the said invention is (not) vested in Her Majesty in right of Canada as represented by the Minister of (and in the person(s) named in paragraph (1)). (3) That your petitioner(s) verily believe(s) that Her Majesty in right of Canada as represented by the Minister of (and name(s) of inventor(s) who (is) (are) not (a) public servant(s)) (is) (are) entitled to a patent for the said invention having regard to the provisions of the Patent Act . OR (3) That your petitioner(s) verily believe(s) that (he) (they) (and name(s) of inventor(s) who (is) (are) not (a) public servant(s) ) (is) (are) entitled to a patent for the said invention having regard to the provisions of the Patent Act . Omit this paragraph if there is no request for priority. (4) That your petitioner(s) request(s) that this application be treated as entitled to the rights accorded by section 29 of the Patent Act having regard to the application(s) of which particulars are set out below, and represent(s) that the said application(s) (is) (are) the first application(s) for patent for the said invention filed by the inventor(s) or any one claiming under (him) (any of them) in any country that, by treaty, convention or law, affords similar rights to citizens of Canada. (Give particulars here ONLY of the application or applications upon which the claim for priority is based.) Omit this paragraph if all petitioners reside in Canada. (5) That your petitioner(s) hereby nominate(s) name in full who resides or carries on business in Canada at the following address post office address to be (his) (their) representative for all purposes of the Patent Act , including the service of any proceedings taken thereunder. (6) That your petitioner(s) hereby appoint(s) name of patent agent whose full post office address is to be (his) (their) agent, with full power of revocation and substitution, to sign the petition and drawings, to amend the specification and drawings, to prosecute the application, and to receive the patent granted on the said application, and (ratify) (ratifies) any act done by the said appointee in respect of the said application. (7) That your petitioner(s) therefore pray(s) that a patent for the said invention may be granted (jointly) to the person(s) entitled thereto as set out in paragraph (3).