■ 디자인보호법 시행규칙 [별지 제19호의4서식] <개정 2025. 11. 28.>

보호적격을 위한 정보진술서

DM/1/Ⅲ (E)

ANNEX III:

Information on Eligibility for Protection

under Rule 7(5)(g) and Section 408(d) of the Administrative Instructions

IMPORTANT

1. This Annex is optional and can be used to submit a statement under Rule 7(5)(g) that identifies information known by the applicant to be material to the eligibility for protection of the industrial design concerned.

2. This Annex is only relevant for the designation of the United States of America and can be used to submit an Information Disclosure Statement and relevant accompanying documentation. Please note that the Information Disclosure Statement may also be submitted directly to the United States Patent and Trademark Office (USPTO).

3. The Information Disclosure Statement forms (SB08a/SB08b/SB08a-EFS-web) are available on the USPTO web site: www.uspto.gov/forms/aia_forms.jsp.

4. For detailed information on the Information Disclosure Statement, visit the USPTO web site: www.uspto.gov/web/offices/pac/mpep/s609.html.

5. This Annex must be submitted with form DM/1 at the time of filing; it cannot be submitted separately.

6. Please number your pages.

For use by the applicant This Annex concerns the international application referenced by the applicant as below: Reference:		For use by WIPO Document type: DDP Contracting Party: US

Information on Eligibility for Protection

Ⅲ

Number of pages (including this cover page):

210㎜×297㎜[백상지 80g/㎡]