Declaration Concerning Reward and Remuneration

AuthorDonna Suchy
Pages343-344
343
Appendix C
DECLARATION CONCERNING REWARD AND REMUNERATION
1
INVENTION DISCLOSURE NO.: << DOCKET NO. >>
TITLE OF THE INVENTION DISCLOSURE: << TITLE OF INVENTION >>
As the below named inventor(s), I/we declare that:
作为发明者,我/我们在此申明:
This declaration is directed to the above invention disclosure;
本申明是针对以上所指明发明而做出;
I/we believe that I/we am/are the original and first inventor(s) of the subject matter of the
above invention disclosure;
/我们认为我/我们是以上主题发明的原始并最先的发明者;
I/we acknowledge that XXXXXXXXXXXXX grants invention disclosure awards, patent
filing awards, and/or patent issuance awards to inventors;
/我们确认 XXXXXXXXXXXXX 向发明者颁发了发明公开奖/
专利申请奖和/或专利颁发奖;
I/we acknowledge that for the above invention disclosure, I/we have received or will
receive the above award(s) in lieu of any reward and/or remuneration pursuant to Rules
77 and 78 of the Implementing Regulatio ns of the Patent Law of the People’s Republic of
China (PRC Rules 77 and 78) or any other PRC rules and/or regulations that may require
such reward and/or remuneration;
/我们确认就以上所指的发明,我/我们已经收到的或者将要收到的上述奖金将代
?@中华人民共和国专利法实施细则LAM 77 78 条或者其它任何中国法律法规
所要求的奖励和/4WX
I/we release XXXXXXXXXX, its officers, its directors, its assigns, its heirs, and its
successors from all claims, demands, actions, causes of action, or damages, which may
relate to any reward or remuneration, for the above invention disclosure, pursuant to PRC
Rules 77 and 78 or any other PRC rules and/or regulations that may require such reward
and/or remuneration; and
/我们放弃根据@中华人民共和国专利法实施细则LAM 77 78 条或者其它任
何中国法律法规所要求奖励和/或报酬的规定,*& XXXXXXXXXXXXX 及其公
)_`Ca/bc/def/ghfijkl/要求/mn/lo;并且
I/we declare that all statements made herein of my/our own knowledge are true, all
statements made herein on information and belief are believed to be true, and further that
these statements were made with the knowledge that willful false statements and the like
are punishable by fine or imprisonment or both.
/我们申明我在此所做的所有声明就我们所知的是真实的;所有在此做出声明所
依据的信息和信念被相信是真实的,此外这些声明作出时我/我们明确知道任何故
意的虚假声明或类似行为将受到罚款和/或惩罚。
suc51204_06_app_319-344.indd 343 6/1/15 8:50 AM

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