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. {{applicationNumber}} Filing date: {{filingDate}}
Amount of Fee paid: {{feeAmount}} CBR No: {{cbrNumber}}
Signature: {{officeSignature}}
1. APPLICANT’S REFERENCE / IDENTIFICATION NO. (AS ALLOTTED BY OFFICE)
{{applicantReferenceNumber}}
2. TYPE OF APPLICATION [Please tick (✓) at the appropriate category]
{{typeOrdinaryTick}}Ordinary {{typeConventionTick}}Convention {{typePCTNPTick}}PCT-NP {{typeDivisionalTick}}Divisional {{typeAdditionTick}}Patent of Addition
3A. APPLICANT(S)
Name in Full Nationality Country of Residence Address of the Applicant
{{applicantName}} {{applicantNationality}} {{applicantCountryOfResidence}} {{applicantAddress}}
3B. CATEGORY OF APPLICANT [Please tick (✓) at the appropriate category]
{{catNaturalPersonTick}}Natural Person {{catEducationalInstituteTick}}Educational Institute {{catSmallEntityTick}}Small Entity {{catStartupTick}}Startup {{catOthersTick}}Others
4. INVENTION(S)
Are all the inventor(s) same as the applicant(s) named above?   {{inventorsSameYesTick}}Yes {{inventorsSameNoTick}}No
If “No”, furnish the details of the inventor(s):
NAME IN FULL NATIONALITY COUNTRY OF RESIDENCE ADDRESS OF THE INVENTOR
{{inventor1Name}} {{inventor1Nationality}} {{inventor1Country}} {{inventor1Address}}
{{inventor2Name}} {{inventor2Nationality}} {{inventor2Country}} {{inventor2Address}}
{{inventor3Name}} {{inventor3Nationality}} {{inventor3Country}} {{inventor3Address}}
5. TITLE OF THE INVENTION
{{inventionTitle}}
6. AUTHORISED REGISTERED PATENT AGENT(S)
IN/PA No. {{agentNumber}} Name {{agentName}}
Mobile {{agentMobile}}
7. ADDRESS FOR SERVICE OF APPLICANT IN INDIA
{{serviceAddress}}
Mobile No. {{serviceMobile1}}, {{serviceMobile2}}
E-mail ID: {{serviceEmail1}}, {{serviceEmail2}}
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)
{{convCountry}} {{convAppNumber}} {{convFilingDate}} {{convApplicantName}} {{convInventionTitle}} {{convIPC}}
9. IN CASE OF PCT NATIONAL PHASE APPLICATION, PARTICULARS OF INTERNATIONAL APPLICATION FILED UNDER PATENT CO-OPERATION TREATY (PCT)
International application number {{pctInternationalNumber}}
International filing date {{pctInternationalFilingDate}}
10. IN CASE OF DIVISIONAL APPLICATION FILED UNDER SECTION 16, PARTICULARS OF ORIGINAL (FIRST) APPLICATION
Original (first) application No. {{divOriginalAppNo}}
Date of filing of original (first) application {{divOriginalFilingDate}}
11. IN CASE OF PATENT OF ADDITION FILED UNDER SECTION 54, PARTICULARS OF MAIN APPLICATION OR PATENT
Main application/patent No. {{mainPatentNumber}}
Date of filing of main application {{mainPatentFilingDate}}
12. DECLARATIONS
(i) Declaration by the agent(s)
I/We, the above named agent(s) is/are the authorized patent agent(s) for this Invention and declare that the applicant(s) herein is/are my/our assignee or legal representative.
{{agentSignatureRows}}
(ii) Declaration by the applicant(s) in the convention country
I/We, the applicant(s) in the convention country declare that the applicant(s) herein is/are my/our assignee or legal representative.
Date: {{conventionDeclarationDate}}
Signature(s): {{conventionDeclarationSignatures}}
Name(s) of the signatory: {{conventionSignatoryNames}}
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 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 {{section16Date}} 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 specification No. of pages - {{completeSpecPages}} {{completeSpecFee}} {{completeSpecRemarks}}
No. of Claim(s) No. of claims - {{claimsCount}}; No. of pages - {{claimsPages}} {{claimsFee}} {{claimsRemarks}}
Abstract No. of pages - {{abstractPages}} {{abstractFee}} {{abstractRemarks}}
No. of Drawing(s) No. of drawings – {{drawingsCount}}; No. of pages - {{drawingsPages}} {{drawingsFee}} {{drawingsRemarks}}
Complete specification (in conformation with the international application)/as amended before the International Preliminary Examination Authority (IPEA), as applicable (2 copies).
Sequence listing in electronic form.
Drawings (in conformation with the international application)/as amended before the International Preliminary Examination Authority (IPEA), as applicable (2 copies).
Priority document(s) or a request to retrieve the priority document(s) from DAS (Digital Access Service) if the applicant had already requested the office of first filing to make the priority document(s) available to DAS.
Translation of priority document/Specification/International Search Report/International Preliminary Report on Patentability.
Statement and Undertaking on Form 3.
Declaration of Inventorship on Form 5.
Power of Authority.
Total fee ₹ {{totalFee}} in Cash/ Banker's Cheque / Bank Draft bearing No. {{feeInstrumentNumber}} Date {{feeInstrumentDate}} on {{feeInstrumentBank}} Bank.
I/We hereby declare that to the best of my/our knowledge, information and belief the fact and matters slated herein are correct and I/We request that a patent may be granted to me/us for the said invention.
Dated this the {{declarationDay}} day of {{declarationMonthYear}}
{{agentName}} ({{agentNumber}})
On behalf of the Applicant
To,
The Controller of Patents
The Patents Office, {{patentOfficeLocation}}