Fee Sheet (FS2)(Non-Deposit Account Holders)

Account

No.

Name

Address

Contact

Tel No.

Fax No.

E-Mail Address.

Payment Method

a) Bank transfer of £

(see Note 2)

on (date)

OR

b) Cheque enclosed for £

(see Note 3)

Fee Sheet Reference (see Note 4)

Date

Form type(P/TM /DPCT/EP)

(see N o te 5)

Form

N umbe rName, Number or Other Identifier

Amount of Fee

£

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

Page of pages TotalNotes for guidance on the completion of this form are printed on the reverse DDU28/11-00

Notes for Guidance

1. Please enclose the accompanying forms in the order in which they are listed on the fee

sheet overleaf.

2. If settlement is made by bank transfer no filing date will be accorded until the funds

have been credited to the Patent Office bank account and the related forms and fee sheet

have been received by the Patent Office.

The Patent Office bank account details you will need for bank transfer payment are

Bank sort code : 10-00-00

Swift Code : BKENGB2L

Bank : Bank of England

Drawing Office

Threadneedle Street

LONDON EC2R 8AH

A/C Number : 25011006

A/C Name : The Patent Office

Reference : Customer Account Number (see overleaf) to be quoted.

3. Cheques should be made payable to The Patent Office.

4. The fee sheet reference entered overleaf will be shown on fee sheet acknowledgements

to enable you to link the transactions back to your supporting papers.

5. Use P for Patents / TM for Trademark / D for Design /

PCT for Patent Co-operation Treaty / EP for European Patent

6. Please complete the page number at the foot of the form. If a continuation sheet is used,

amend TOTAL on the first sheet to SUB TOTAL and staple the continuation sheet to the

front sheet in the top left hand corner.

7. This form and attachments should be returned to:

The Patent Office

Cardiff Road

Newport

South Wales

NP10 8QQ