PCT/EP2020/075541
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`Sheet No. o.0....
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`Box: No. VOL(iv) DECLARATION: INVENTORSHIP (only forthe purposes of the designation of the United States ofAmerten)
`The declaration must conformto: thefollowing standardized wordingpravicedforin Section 214, see Notes to Boxes Nos. PIL VIIety)
`(ingeneral) cael the specificc Notes ta Box Novi(i). fihis Box is not nevethis slwer shantdnot be tnteleidedt in fhe request.
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`Declaration of inventorship (Rales 4.1700) and SLais aie)
`for the purposes of the designation of the United States of America:
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`| Lhereby declare that d believe Lam the original liventor or an original jaint inventorot aclaimed invention in the application.
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`This:declaration is directed to the intetiiational- application of which it forns a part (if Mite declaration with application):
`This declaration is directed to international application Ne. PCT/. EP2020/OFSSAL ns tiffurnishing dectaration pursuant
`to. Rule 26/er),
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`| Lhereby declare that the above-identified international application was made or authorized to be made by me.
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`1 hereby acknowledge thatany willfil false statement made inthis declaration is punishable ender 18-U-8.C. 1001. by fine or
`imprisonment of not more than five (5) years, or both.
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`Residence... Belaiuen..eeu SSSA maa ead wy he een bud eure se weuues EgEUGR bY be Ve bee ery eae eo ew we es
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`feity and-either US state, if applicable, of countty)
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`| Mailing Address:... Lovergveldstraat.o.. 0.0... ccs cee ees pose aed EOE Pa Riek eh we we ea eo ee
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`oe BORO MOSSCLLO ooo cco v vec eve vnevveevsvibveteeeuebeeesvunee. lyventor’sSignature! ‘ ![ef\Johnea.Peaee ¢ waeZ|USNho2020ieSyeeee
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`(The signature must be that
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`Residence: .... BENIN occa eee e eens aE SN bes CE URW AS Sa oa TS ae ee ee ia
`(city and cither US state, if applicable, or country)
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`Mailing Address: . GeldenaakSevest. 16.0... ce ce ee ee ee ee ER eg ne RM dae
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`3000 Leuven | Residence:
`3010 Reseel:Lo |
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`(orty-andeither US state, ifappl ieable, oncouniry)
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`| Mailing Addreas: ..Heidebergstraat.273..... Son been Son RUE A RR ER WR RUE peda ee pone tea won pone canine wae nas
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`lnventor’s Stigmata? ess cee ee ae.
`(The signature must be-that of the inventor, not ifiat af the agent)
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`al“This declaration: ts eatin onthe following sheet,"Continuation ofBox NooVilbdivy*,
`Porm PCTRO/IOL (declaration sheet (iv)) (uly 2018)
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`See Notes to the requestJorn
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`PCT/EP2020/075541
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`Sheet Wo.
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`.. 2. ta
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`Continuation of Box No. VI(tai) DECLARATION
`ifthe space is insufficient in ant ofBoxesNos, VII (i) 1a (vy) tafurnish all ihe. information. incliding in ihe case whereanore than-three |
`inventors aré to he named in Box No, VIL), in such case, write “ContiinationvofBox No. VIL..." Gadicate thedientmuiber ofihe Box)
`anefurnish ihe iyjforinationin the sanie manneras requiredjorthepirposes ofthe Box in whichtre space was insufficient. [fadditionalspace
`is needed iréspect ofhve ormore declarations, a.separate continuation box must bé usedjoreachsuch declararion. [this Box isnot used,
`this sheet should not be tietuded inthe request.
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`Continuation of Box VITUGy)
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`Name: SANCHEZ FELIPE, Lorena
`Residence: BELGIUM
`(city and either USstate, if applicable, or country)
`Wijveld 15
`3018 Wijamaal
`Belgium
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`Inventor’s Signature:
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`pater 44~ A- 2020
`(The signature mustbe that of the inventor, notthat of the agent)
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`Fort PCT/ROAO! (continuation. sheet for declaration) (July 2018)
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`See Notes tothe requestorm
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