Enforcement Rules of the Patent Act Article 42

When requesting for a technical evaluation report of utility model patent pursuant to Paragraph 1, Article 115 of the Act, a request form shall be submitted specifying the following items:1. application number;2. title of utility model;3. name, nationality, and domicile/residence or business establishment of the applicant for the technical evaluation report of utility model patent; the name of the representative, if any;4. name and business establishment of the agent, if an agent is designated; and5. identification of whether the requester is the patentee.
中文原文 專利法施行細則第42條
依本法第一百十五條第一項規定申請新型專利技術報告者,應備具申請書,載明下列事項:
一、申請案號。
二、新型名稱。
三、申請新型專利技術報告者之姓名或名稱、國籍、住居所或營業所;有代表人者,並應載明代表人姓名。
四、委任代理人者,其姓名、事務所。
五、是否為專利權人。

English translation for reference only; the Chinese text prevails. Not legal advice.