Canadian Intellectual Property Office
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Declaration of Entitlement

The applicant shall include in the petition or submit as a separate document a declaration in accordance with either subsection 3(1) or (2). If the subsection 3(2) declaration is included or submitted, it must be worded as below, with such inclusion, omission, repetition and re-ordering of the matters listed as items 3(2)(i) to (viii) as is necessary to explain the applicant's entitlement. This declaration is applicable only to those events that have occurred before the filing date. The possible kinds of transfer of entitlement in item 3(2)(vii) include merger, acquisition, inheritance, donation and so forth. If there has been a succession of transfers from the inventor, the order in which transfers are listed should follow the actual succession of transfers, and items may be included more than once, as necessary to explain the applicant's entitlement.

3. (1) The applicant is the sole inventor.

(2) The applicant is entitled to apply for and be granted a patent by virtue of the following:

(i)____________________ (name) of____________________ (complete address) is the inventor of the subject matter for which protection is sought by way of this application,

(ii)____________________ (name) [is] [was] entitled as employer of the inventor, __________ (inventor's name),

(iii) an agreement between ________________ (name) and ____________________(name), dated ____________________,

(iv) an assignment from ____________________(name) to ____________________(name), dated ____________________,

(v) consent from ____________________ (name) in favour of ____________________ (name), dated ____________________,

(vi) a court order issued by ____________________(name of court), effecting a transfer from ____________________(name) to ____________________ (name), dated ____________________,

(vii) transfer of entitlement from ____________________(name) to ____________________(name) by way of ____________________(specify kind of transfer), dated ____________________,

(viii) the applicant's name changed from ____________________(name) to ____________________(name) on ____________________(date).