SINGAPORE PATENTS ACT (CHAPTER 221)
PATENTS RULESPATENTS FORM 8

Statement of Inventorship and of Right to Grant ofPatent

Estimated Time:
This form may take approximately 9 - 13 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.*
Application No.*PART 3

Title of Invention*

Title of Invention*

PART 4

Name of Applicant*Note: If there is insufficient space, please use the continuation sheet CS 4.

UEN/ Company Code(if applicable)

Name

Sole Proprietor orPartners' Name
(if sole proprietorship orpartnership)

PART 5

Details of Inventor*

Note: If there is insufficient space, please use the continuation sheet CS 5.

NameAddress

Singapore AddressThis 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 7.)

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Block/ HouseNo.
Street Name
Level - Unit-BuildingName
Postal Code

Foreign AddressLine 1Line 2Line 3Nationality*

State of Residency(mandatory for USA)Country of Permanent
Residence*(mandatory for individuals)

The Above Inventor wasResident in Singapore at
Any Time during thePeriod of Invention?
PART 6Yes

NoDerivation of Right*

The Applicants Derived
the Right from theInventor to be Granted
the Said Application*(Note: Only one checkbox may

By Contract of Employment

By Assignment of Invention

be crossed)

Others (Please specify below)

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PART 7

Contact 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 5 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, and must be thesame as the one on our record.
d. Please file Form CM1 if you are a different agent or Form CM2 if you have changed your address for service in Singapore.

Agent UEN/ Company
Code
Agent Name

Representative or C/O
Name
Address for Service in Singapore
Block/ House
No.
Street Name
Level - Unit-

Building
Name
Postal CodeContact Person(if applicable)

Direct Telephone No.
(if applicable)

Email Address(if applicable)

PART 8Statement
Statement

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I/ We believe that the person(s) stated in part 5 is/ are the inventor(s) ofthe invention in respect of which the patent application is made.
I/ We also consent to the publication of the details contained herein toeach of the inventors as stated in part 5.

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PART 9Declaration*
Declaration

By Person Filing the FormI, 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 Agent
I, the undersigned, do hereby declare that:i.

I have been duly authorised to act as an agent on behalf of theperson(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

SignatureDate(DD/MM/YYYY)

No. of Extra Sheets
Attached to this Form

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sheet(s)Page 4 of 4