FORM 1

THE PATENTS ACT 1970 (39 of 1970) and

THE PATENTS RULES, 2003

APPLICATION FOR GRANT OF PATENT

(See section 7, 54 and 135 and sub-rule (1) of rule 20)

(FOR OFFICE USE ONLY)

Application No. ______________________

Filing date: ______________________

Amount of Fee paid: ______________________

CBR No: ______________________

Signature: ______________________

1. APPLICANT'S REFERENCE / IDENTIFICATION NO. (AS ALLOTTED BY OFFICE)   _______________________________________

2. TYPE OF APPLICATION  [Please tick (✓) at the appropriate category]

Ordinary (   )     Convention (   )     PCT-NP (   )     PPH (   )

Divisional (   )     Patent of Addition (   )

3A. APPLICANT(S)

Name in Full

Gender (optional, for individuals)

Nationality

Country of Residence

Age (optional, for natural persons)

Address of the Applicant

3B. CATEGORY OF APPLICANT  [Please tick (✓) at the appropriate category]

Natural Person (   )     Other than Natural Person (   )     Educational Institution (   )

Small Entity (   )     Startup (   )     Others (   )

4. INVENTOR(S)  Are all the inventor(s) same as the applicant(s) named above?  Yes ( )   No ( )

If “No”, furnish the details of the inventor(s):

Name in Full

Gender (optional, for natural persons)

Nationality

Age (optional, for natural persons)

Country of Residence

Address of the Inventor

5. TITLE OF THE INVENTION

6. AUTHORISED REGISTERED PATENT AGENT(S)

IN/PA No.

Name

Mobile No. (OTP verification mandatory – will be redacted)

7. ADDRESS FOR SERVICE OF APPLICANT IN INDIA

Name

Postal Address

Telephone No.

Mobile No. (OTP verification mandatory – will be redacted)

Fax No.

E-mail ID (OTP verification mandatory – will be redacted)

8. IN CASE OF APPLICATION CLAIMING PRIORITY OF APPLICATION FILED IN CONVENTION COUNTRY, PARTICULARS OF CONVENTION APPLICATION

Country

Application Number

Filing date

Name of the applicant

Title of the invention

IPC (as classified in the convention country)

9. IN CASE OF PCT NATIONAL PHASE APPLICATION, PARTICULARS OF INTERNATIONAL APPLICATION FILED UNDER PATENT CO-OPERATION TREATY (PCT)

International application number

International filing date

10. IN CASE OF DIVISIONAL APPLICATION FILED UNDER SECTION 16, PARTICULARS OF ORIGINAL (FIRST) APPLICATION

Original (first) application No.

Date of filing of original (first) application

11. IN CASE OF PATENT OF ADDITION FILED UNDER SECTION 54, PARTICULARS OF MAIN APPLICATION OR PATENT

Main application/patent No.

Date of filing of main application

12. DECLARATIONS

(i) Declaration by the inventor(s)

(In case the applicant is an assignee: the inventor(s) may sign herein below or the applicant may upload the assignment or enclose the assignment with this application for patent or send the assignment by post/electronic transmission duly authenticated within the prescribed period).

I/We, the above named inventor(s) is/are the true & first inventor(s) for this Invention and declare that the applicant(s) herein is/are my/our assignee or legal representative.

(a) Date: ___________________     (b) Signature(s): ___________________

(c) Name(s): ___________________________________

(ii) Declaration by the applicant(s) in the convention country

(In case the applicant in India is different than the applicant in the convention country: the applicant in the convention country may sign herein below or applicant in India may upload the assignment from the applicant in the convention country or enclose the said assignment with this application for patent or send the assignment by post/electronic transmission duly authenticated within the prescribed period).

I/We, the applicant(s) in the convention country declare that the applicant(s) herein is/are my/our assignee or legal representative.

(a) Date: ___________________     (b) Signature(s): ___________________

(c) Name(s) of the signatory: ___________________________________

(iii) Declaration by the applicant(s)

I/We the applicant(s) hereby declare(s) that:

• I am/We are in possession of the above-mentioned invention.

• The provisional/complete specification relating to the invention is filed with this application.

• The invention as disclosed in the specification uses the biological material from India and the necessary permission from the competent authority shall be submitted by me/us before the grant of patent to me/us.

• There is no lawful ground of objection(s) to the grant of the Patent to me/us.

• I am/we are the true & first inventor(s).

• I am/we are the assignee or legal representative of true & first inventor(s).

• The application or each of the applications, particulars of which are given in Paragraph-8, was the first application in convention country/countries in respect of my/our invention(s).

• I/We claim the priority from the above mentioned application(s) filed in convention country/countries and state that no application for protection in respect of the invention had been made in a convention country before that date by me/us or by any person from which I/We derive the title.

• My/our application in India is based on international application under Patent Cooperation Treaty (PCT) as mentioned in Paragraph-9.

• The application is divided out of my/our application particulars of which is given in Paragraph-10 and pray that this application may be treated as deemed to have been filed on DD/MM/YYYY under section 16 of the Act.

• The said invention is an improvement in or modification of the invention particulars of which are given in Paragraph-11.

13. FOLLOWING ARE THE ATTACHMENTS WITH THE APPLICATION

(a) Form 2

Item

Details

Fee

Remarks

Complete/provisional specification

No. of pages

Claim(s)

No. of claims and No. of pages

Abstract

No. of pages

Drawing(s)

No. of drawings and No. of pages

# In case of a complete specification, if the applicant desires to adopt the drawings filed with his provisional specification as the drawings or part of the drawings for the complete specification under rule 13(4), the number of such pages filed with the provisional specification are required to be mentioned here.