precautionary-designation-statement 

Rule 4.9(b),(c)
In addition to the designations made above [i.e, designation-of states], the
applicant also makes under Rule 4.9(b) all other designations which would be
permitted under the PCT except any designation(s) indicated in the Supplemental
Box [i.e., exclusion-from-designation] as being excluded form the scope of this
statement. The applicant declares that those additional designations are
subject to confirmation and that any designation which is not confirmed before
the expiration of 15 months from the priority date is to be regarded as
withdrawn by the applicant at the expiration of that time limit.

Element Information

Model

Source 

<xs:element name="precautionary-designation-statement" type="precautionary-designation-statementType">
  <xs:annotation>
    <xs:documentation>Rule 4.9(b),(c) In addition to the designations made above [i.e, designation-of states], the applicant also makes under Rule 4.9(b) all other designations which would be permitted under the PCT except any designation(s) indicated in the Supplemental Box [i.e., exclusion-from-designation] as being excluded form the scope of this statement. The applicant declares that those additional designations are subject to confirmation and that any designation which is not confirmed before the expiration of 15 months from the priority date is to be regarded as withdrawn by the applicant at the expiration of that time limit.</xs:documentation>
  </xs:annotation>
</xs:element>

Sample