FORM 1A

PATENTS ORDINANCE, 2000

Application for patent when the true and first
inventor is not a party to the application.

Insert full name

address and I/We, ELI LILLY AND COMPANY
nationality for (a corporation organized and existing
applicant(s) under the laws of the State of Indiana), of
Lilly Corporate Center, City of Indianapolis,
State of Indiana, UNITED STATES OF AMERICA

hereby declare:

Insert title of (i) that I am in possession of an invention for

Invention

“SYNERGISTIC FORMULATIONS”

Insert full name(s) (ii) that I(or we) claim to be the assignee(s) of
address and
nationality of
inventors - Lionel Barry Lowe, (an Australian citizen), of
3 Mitchell Road, Dural New South Wales 2158,
AUSTRALIA

- James Terence Rothwell, (an Australian citizen), of

9 Havelock Street, South Turramurra,
New South Wales 2074,
AUSTRALIA

who claim(s) and is (are) believed to be the true and first inventor(s) thereof;

(iii) that the invention is not in use in Pakistan by any other

person;

(iv) that the complete specification filed with this application

is and any amended specification which may hereafter be filed
in this behalf will be, true of the invention to which this
application relates;

(v) that the facts and matters stated herein are true to the best of
my (or our) knowledge, information and belief.

I (or we) humbly pray that a patent may be granted to me (us) for the said invention.

Dated this: 14th day of: July, 2001

Signed ________________________________

Name: HASAN IRFAN KHAN

Designation: (APPLICANT’S AGENT)

To
The Controller of Patents,
The Patent Office,
Pakistan
.
ENDORSEMENT BY INVENTOR(S)

I/We,

- Lionel Barry Lowe, (an Australian citizen), of

3 Mitchell Road, Dural New South Wales 2158,
AUSTRALIA

- James Terence Rothwell, (an Australian citizen), of

9 Havelock Street, South Turramurra,
New South Wales 2074,
AUSTRALIA

referred to on the reverse of this document as claiming to be true and first inventor(s) agree that the
said application shall be made without my (our) name(s) as (an) applicants for a patent.

Dated this: 14TH day of: July, 2001

To be signed by
the inventor(s)

To be signed by
two witnesses
whose complete
names and
address should
be mentioned. 1. ________________________

2.________________________
FORM 1A

PATENTS ORDINANCE, 2000

Application for patent when the true and first
inventor is not a party to the application.

Insert full name

address and I/We, VADER PTY LTD,
nationality for (an Australian Company), of
applicant(s) Unit 18/595 Chandler Road,
Keysborough, Victoria, 3173,
AUSTRALIA.

hereby declare:

Insert title of (i) that I am in possession of an invention for

Invention

“RECOIL CONTROL MECHANISM FOR A WEAPON”

Insert full name(s) (ii) that I(or we) claim to be the assignee(s) of
address and
nationality of
inventors Richard Giza
(An Australian citizen), of Unit 14,
595 Chandler Road,
Keysborough, Victoria, 3173,
AUSTRALIA.

who claim(s) and is (are) believed to be the true and first inventor(s) thereof;

(iii) that the invention is not in use in Pakistan by any other

person;

(iv) that the complete specification filed with this application

is and any amended specification which may hereafter be filed
in this behalf will be, true of the invention to which this
application relates;

(v) that the facts and matters stated herein are true to the best of
my (or our) knowledge, information and belief.

I (or we) humbly pray that a patent may be granted to me (us) for the said invention.

Dated this: day of: 2001

Signed ________________________________

Name: ________________________________

Designation: __________________________

To
The Controller of Patents & Designs,
The Patent Office,
Pakistan
.
ENDORSEMENT BY INVENTOR(S)

I/We,

Richard Giza
(An Australian citizen), of Unit 14,
595 Chandler Road,
Keysborough, Victoria, 3173,
AUSTRALIA.

referred to on the reverse of this document as claiming to be true and first inventor(s) agree that the
said application shall be made without my (our) name(s) as (an) applicants for a patent.

Dated this: day of: 2001

To be signed by
the inventor(s)

To be signed by
two witnesses
whose complete
names and
address should
be mentioned. 1. ________________________

2.________________________