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Get 37 Cfr 1110b Form 2017-2024

Displays a valid OMB control number. United States Patent and Trademark Office Undertaking under 37 CFR 11.10(b) INSTRUCTIONS: This form must be completed by any former employee of the United States Patent and Trademark Office (USPTO) who has served in the patent examining corps of the United States Patent and Trademark Office. NAME: First name Middle name Last name POSITION HELD IN USPTO (at the time of separation or resignation from USPTO) DATE APPOINTED TO EXAMINING CORPS DATE OF SEPA.

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