Name of firm *
Contact person
Email *
Countries to be Filed in	Japan China Korea

PCT Application
Application Number
Amendments Filed at the International Stage:
Article 19 Amendments	Yes No
Article 34 Amendments	Yes No
Amendments Filed at the National Phase:
Article 41 Amendments	Yes No

Trademark
Number of classes
Number of goods and/or services

Utility Model
Filing Date of Original Application
Number of Claims
Figures (no translation needed)
Figures (translation needed)
Word count

Industrial Design
Filing Date of Original Application
Figures (no translation needed)
Figures (translation needed)

Additional Comments