FICPI Membership Form

Application Form – Individual

Current Information
Complete

APPLICATION FOR FICPI MEMBERSHIP IN: (required)

Family Name (required)

First Name(s) (required)

Prefix

Academic Prefix(es)

Suffix(es):

Pronouns

She/her/hers

He/him/his

They/them/their

Just my name please

Other (type below)

Please enter your pronoun(s)

Date of Birth

Do you identify as?

Female

Male

Other

Photograph (optional)

One file only.
64 MB limit.
Allowed types: gif, jpg, jpeg, png.

YOUR CONTACT DETAILS

Firm Name

Country

Company Email (required)

Telephone

Mobile

Fax

YOUR EDUCATION

Academic qualifications

No academic qualification entered. Please add below.

IP Education

No IP Education qualification entered. Please add below.

Have you completed a FICPI Academy patent drafting course (e.g. SEAD, EuroSEAD, etc.)?

Yes

FICPI SEAD Course Location

FICPI SEAD Course Location (Other)

FICPI SEAD Course Year

Professional Qualifications

List any professional qualification(s) you have obtained by examination, official accreditation, or custom and practice in the country or administrative area where you are applying for membership, to practise in the field of intellectual property, together with the year in which you obtained those qualification(s). Do not include regional qualifications here – they are requested below.

Are you listed on an official register of persons who are authorised to represent clients, including foreign clients, before an IP Office in your country or administrative area?

Yes

For what kinds of applications are you listed (select all applicable)?

Patents

Trade Marks

Industrial Designs

Other (please specify)

Professional qualifications in the other countries, administrative areas or regions

No profesional qualifacation elsewhere entered. Please add below.

How many years in total have you been working as an IP attorney?

During this time, how many years have been spent working in private practice?

List your professional experience in the field of IP. Give the name(s) of any firms or companies in which you have been practising as an IP attorney.

If you held multiple roles at the same firm or company, list them separately. Exclude training or pre-qualification roles.

No IP professional experience entered. Please add below.

On average, how much of your total working time is currently spent on IP matters:

Practice Management

Trade Mark matters

Other IP matters

Patent matters

Do you or your firm render IP services predominantly in a habitual and remunerated manner?

Yes

Are you or your firm free to accept any professional retainer that does not violate the normal ethical standards of the profession, and to refuse any professional retainer if you choose?

Yes

Do you regard yourself, either individually or within your firm, as an independent IP practitioner?

Yes

Are you authorised to sign for your firm in professional matters?

Yes

Are you an owner of your present firm (i.e. proprietor, partner, member or other shareholder deriving at least part of your income from the profit of the firm)? If so, since when have you had this status?

Yes

Give Year

In principle (i.e. apart from any contractual restrictions limited in time), are you free to leave your present firm and set up your own practice in the country or administrative area in which you presently practise, and to represent clients before an IP Office for this country or administrative area, in respect of:

Yes

Patent matters?

Yes

Trade Mark matters?

Yes

Design matters

Yes

Please state other factual circumstances that might be relevant to the assessment of your independence as an IP attorney.

Are you a member of any other association of IP practitioners in private practice in your country or administrative area?

Yes

Please list organisations

Important: Please name at least two to five FICPI members as referees who know you professionally and personally and can attest to your honourable character, morality and professional ability.

It is recommended that your referees should come from different countries or administrative areas from your own, and from as many different countries as possible. If you cannot list a FICPI member as a referee, please provide the name and details of another established IP practitioner, preferably in a different country or administrative area from your own. If you do not know any FICPI members, please enter "FICPI Reference Assistance" in the search field then continue with your application.

Important: Please name at least two to five FICPI members as referees who know you professionally and personally and can attest to your honourable character, morality and professional ability. It is recommended that your referees should come from different countries or administrative areas from your own, and from as many different countries as possible. If you cannot list a FICPI member as a referee, please provide the name and details of another established IP practitioner, preferably in a different country or administrative area from your own. If you do not know any FICPI members, please enter "FICPI Reference Assistance" in the search field then continue with your application.
Important: Please name at least two to five FICPI members as referees who know you professionally and personally and can attest to your honourable character, morality and professional ability. It is recommended that your referees should come from different countries or administrative areas from your own, and from as many different countries as possible. If you cannot list a FICPI member as a referee, please provide the name and details of another established IP practitioner, preferably in a different country or administrative area from your own. If you do not know any FICPI members, please enter "FICPI Reference Assistance" in the search field then continue with your application.

If the referee is not a member, please fill in the contact details

If the referee is not a member, please fill in the contact details
Name Email Firm Name Telephone

In your country or administrative areas, are there at least four other private practices or firms offering IP services, from which foreign clients are able to choose?

Yes

It would be appreciated if you would name at least some of them, to help us grow FICPI in your country or administrative area.

Do you want to volunteer any further remarks to compliment your application?

WHAT HAPPENS NEXT

After a formal examination of the application, the Admission Commission of FICPI will invite all National Associations and National and Regional Sections of FICPI, all individual members in the applicant’s country or administrative area, the referees, and any other person it is believed would be able to provide relevant information, to comment on the application.

The Admission Commission will then present an opinion to the Executive Committee of the Federation, which will make the final decision at its next meeting. Under certain circumstances, the Bureau of FICPI may admit members, and this could shorten the admission process. The applicant can help by responding promptly if it proves necessary to request further information from the applicant.

FICPI members rely on other FICPI members to be trustworthy in both professional and financial matters. Article 7 of the Statutes requires all applicants expressly to declare that they will abide by all provisions of the Statutes, Rules and Code of Professional Conduct. We specifically direct your attention to Article 9.B.1.c of the Statutes and to Rules 3, 6, 8, 8 bis and 9 of the Code of Professional Conduct.

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FICPI is the only international NGO whose membership consists exclusively of IP attorneys in private practice. As a result, the FICPI community is driven by a shared interest to promote solutions and advocacy for private IP practitioners.

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