SINGAPORE PATENTS ACT (CHAPTER 221)
PATENTS RULESPATENTS FORM 37

Entry into National Phase

Pre-requisites:
a. If the international application was published under the PCT in a language other than English, an English translation of theapplication is to accompany this form.
b. If you wish for the Registrar to proceed earlier with national phase, please make a request in Part 8. Where such a request
is made and the PCT application has yet to be published at WIPO, a copy of the PCT application is to accompany thisform.
Estimated Time:
This form may take approximately 8 - 12 minutes to complete.
General:a. * denotes mandatory fields.
b. Attention is drawn to sections 104 and 105 of the Patents Act, rules 90 and 105 of the Patents Rules, and the Patents(Patent Agents) Rules 2001.

PART 1

Reference
Applicant/ Agent
Reference

PART 2

Application No.*International Application
No.*

P C T

Singapore Application
No. (if applicable)
PART 3

Title of Invention*
Please check this box if you wish to adopt the title in thespecification. This check box should only be checked if thePCT application is published in foreign language or thePCT application is yet to be published.

Title of Invention*(Fill in title of invention
as published by WIPO
Or
Fill in the title ofinvention
fromthespecification you wish
to adopt; only forforeign language or yetto be published PCTapplications)PART 4

Details of Applicant*Note: The applicant's name and address should tally with that on WIPO's records at the time of filing this form. If different,
please provide supporting documents. If there is insufficient space, please use the continuation sheet in CS 1.

UEN/ Company Code(if applicable)

Name*

Address*

V1.20170401Singapore Address

Page 1 of 5

This Singapore address is to be used as the address forservice for the purposes of this form.
(Note: If this is crossed, it is not necessary to fill up the address for service inSingapore in part 9.)

Block/ House
No.
Street Name
Level – Unit
No. #(If applicable)-BuildingName(If applicable)
Postal CodeForeign AddressLine 1Line 2Line 3

Nationality* (forindividuals) or Country ofIncorporation* (forcorporations)
State of Incorporation*(mandatory only for USAcorporations)

Country of Residency*(mandatory only forindividuals)

Sole Proprietor orPartners' Name(If applicable)

Company Profile(for Singapore incorporated
businesses only.Please cross
if applicable)

PART 5

Small and Medium Enterprise1
1

Small and medium-sized enterprises in Singapore will be defined as businesses withannual sales turnover of not more than $100 million or employing no more than 200 staff.

International Filing Date*

International Filing Date*(DD/MM/YYYY)

PART 6

Earliest Declared Priority Date

Earliest Declared Priority
Date (DD/MM/YYYY)

V1.20170401

Page 2 of 5

PART 7

International Publication No.

International PublicationNo.
PART 8W O

Request for Early National Phase EntryRequest for Early
National Phase Entry

XI/We expressly requests the Registrar to proceed earlier with
the national phase of the application.

(Note: Please cross ifapplicable)

PART 9Contact Details*

Note:a. Where an agent with UEN is appointed, the fields for "Agent UEN/ Company Code", "Agent Name" and "Address forService in Singapore" should be completed. Where an individual or an agent without UEN is appointed, the sub-field“Representative or C/O Name” and "Address for Service in Singapore" should be completed instead.
b. The address for service in Singapore need not be filled up if the person's address in Part 4 is to be used as an address forservice in Singapore.
c. The official correspondence will be sent to the address for service in Singapore as indicated in this box.
d. The agent has to be a Singapore registered patent agent, or an advocate and solicitor, who has in force a practisingcertificate. Please refer to Singapore Patents Act Section 105 for details.

Agent UEN/ Company
Code(If applicable)

Agent Name
(If applicable)

Representative or C/OName(If applicable)

Address for Service in Singapore (mandatory if box in Part 4 is not crossed)
Block/ HouseNo.
Street Name

Level – Unit
No. #-(If applicable)

BuildingName(If applicable)

Postal CodeName of Contact Person(if applicable)

Direct Telephone No.
(if applicable)

V1.20170401

Page 3 of 5

Email Address(if applicable)

PART 10Declaration*
Declaration

By Person Filing the Application
I, the undersigned, do hereby declare that the information furnishedabove is true to the best of my knowledge. I understand that I may beliable for criminal prosecution for providing any false information in thisapplication.
By AgentI, the undersigned, do hereby declare that:i.

I have been duly authorised to act as an agent, for the purposesof this application, on behalf of the person(s) filing this form.

ii.

The information furnished above on behalf of the person(s) filingthis form is true to the best of the person(s)' knowledge. I
understand that I may be liable for criminal prosecution forproviding any false information in this application.

Name of Declarant*

Signature*

Date*(DD/MM/YYYY)

No. of Extra Sheets
Attached to this Form

V1.20170401

sheet(s)Page 4 of 5GSTGST INFORMATIONTax Invoice*Note:
Tax invoice will be issued to the entity/individual as indicated. Goods and Services Tax (GST)-registered businesses may claim
input tax with Inland Revenue Authority of Singapore (IRAS), subject to meeting the requirements under the GST Act.

The name of the Applicant (as in PART 4 of this form) is to be indicated in this field.

Name (Tax invoice to beissued to)V1.20170401

Page 5 of 5