PVP Form 001
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Department of Agriculture
BUREAU OF PLANT INDUSTRY
PLANT VARIETY PROTECTION OFFICE
APPLICATION FOR A CERTIFICATE OF PLANT VARIETY PROTECTION
Please see back for instructions before accomplishing this Form
INFORMATION on APPLICANT, BREEDER, and AGENT
1. Name of Applicant(s)
2. Nationality/Country of
Incorporation
1.
1.
2.
2.
3.
3.
4.
4.
3. Address of Applicant(s)
4. Applicants Right to File for CPVP
1.
1.
2.
2.
3.
3.
4.
4.
5. If applicant is not person who bred variety, name(s) of original breeder(s).
1.
2.
3.
4.
6. Name of Contact Person/Agent
7. Telephone Nos.
8. Address
GENERAL INFORMATION on VARIETY
9. Proposed Denomination
11. Crop Common Name(s)
12. Taxon
10. Other Names
13. Crop Family
14. Description of Variety
Application Reference Number: ________________________
PVP Form 001
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Statement on Priority Date: Prior Applications for Breeders Right
15. Country (ies)
16. Date(s) Filed
17. Variety name
18. Application No.
Filed
19. Status
1.
2.
3.
4.
5.
6.
19. Priority Date Claimed (Based on Earliest Application Listed Above)
Statement on Newness
20. Details of first sale in the Philippines
21. Details of first sale outside the Philippines.
DECLARATION: I declare to the best of my knowledge that the statements made in this application
are true and correct.
Name and Signature of Applicant/Contact Person/ Agent
Date Signed:
Application Reference Number: ________________________
PVP Form 001
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To be filled up by PVP Office
Application Fee
Date Paid
Propagating Materials
Number/Unit
Exhibits Attached
A
Other Attachments
1.
OR Number
Life Form
Where Deposited
Certificate Number
2.
3.
4.
5.
6.
Application Date
Reference Number
Received by:
Application Reference Number: ________________________
PVP Form 001
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Instructions
General
1.
2.
3.
4.
As much as possible, all items must be filled-up by the applicant
Accomplish in English, legibly typed or printed.
Any erasures must be initialed and dated.
Following must be attached:
Copy of Official Receipt of Filing Fee
Exhibits A to D
Accomplished Technical Questionnaire, if available
Certificate of Deposited Propagating Materials
5.
All forms and documents should be submitted to the Office of the Registrar of
the Plant Variety Protection Office at the National Seed Quality Control Services
Laboratory, Bureau of Plant Industry, Visayas Avenue, Diliman, Quezon City.
The applicant shall be informed of the sufficiency or lack of it of the application
within five working days from the date the application was received.
6.
Items
1. Name of Applicant(s)
2. Nationality
3. Address of Applicant(s)
4. Applicants right to file
for
CPVP
5. Original Breeder
6- 8 Name, Telephone
Number and Address of
Contact Person/Agent
9. Proposed Denomination
10. Other Names
11. Crop Common Name
12. Taxon
13. Crop Family
14. Description of Variety
List all natural or juridical person(s) who want(s) to be
certificate holder.
List for each applicant.
If applicant is juridical person, state country of
incorporation
List for each applicant.
List for each applicant.
State whether applicant is:
1) The person who bred, or discovered and developed, a
new plant variety; or
2) The person who is the employer of the
aforementioned person or;
3) Person who has commissioned the work; or
4) The successors-in-interest of the foregoing persons;
or
5) The holder of protection for the same variety in
another country.
The natural person(s) who bred or discovered and
developed the variety
If applicant is foreign national or foreign corporation,
natural person who will be contacted in the processing of
the application.
If applicant is Philippine juridical person, natural person
who will be contacted in the processing of the
application.
If there are several applicants, natural person who will be
contacted in the processing of the application.
Refer to Article 50 of the IRR
May include breeders reference or trade name.
Species or scientific name
Include particular characteristics, including description of
Application Reference Number: _____________________
PVP Form 001
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plant, stem, leaf, flower, flower parts, fruit, fruit parts,
seed, disease resistance, stress tolerance, etc.
Application Reference Number: _____________________
PVP Form 001
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15 19. Statement on
Priority Date
20. Priority Date Claimed
21. Details of first sale in
the Philippines
22. Details of first sale
outside the Philippines
List all previous applications for PVP filed in other
countries.
Status: State whether granted or in process
State date of earliest application in other countries. Must
not be more than a year before filing date of this
application.
State date of first sale in the Philippines, state whether
with consent of applicant or breeder, state name under
which sale was made.
If first sale was without consent of breeder or applicant,
state particulars. State also first sale with consent of
breeder/applicant.
State date of first sale outside the Philippines, state
whether with consent of applicant or breeder, state name
under which sale was made.
If first sale was without consent of breeder or applicant,
state particulars. State also first sale with consent of
breeder/applicant.
Notes
1.
2.
3.
4.
5.
It is the responsibility of the applicant to inform the Plant Variety
Protection Office of any information changes in the application forms;
The applicant is advised to refer to the Implementing Rules and
Regulation of Republic Act No. 9168 whenever necessary;
To avoid conflict with variety name or temporary denomination, the
applicant is advised to consult with the Registrar of the Plant Variety Protection
Office;
Any interested group or individual may multiply this form without asking
authorization from the Plant Variety Protection Office;
For inquiries, address your communication to:
The REGISTRAR
PLANT VARIETY PROTECTION OFFICE
Bureau of Plant Industry
National Seed Quality Control Services Laboratory
Visayas Avenue, Diliman, Quezon City
Telefax Number 929-2543
Application Reference Number: _____________________
PVP Form 001
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Application Reference Number: _____________________
