FORM 8

THE PATENT ACT, 1970 (39 of 1970)

and

THE PATENTS RULES, 2003

REQUEST OR CLAIM REGARADING MENTION OF INVENTOR AS SUCH IN A PATENT

[See section 28(2),28(3) and 28(7); rules 66 , 67 and 68 ]

I/We {{applicantNames}}, hereby state/claim that the following person(s) be mentioned as inventors (s) in the patent application No '{{applicationNumber}}' dated '{{applicationDate}}' made by '{{originalApplicantNames}}'

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Name Address Country Nationality

and I/we hereby apply for a certificate to that effect.

A statement setting out the circumstances under which this application is made is attached together with the copy/copies thereof as required under the Rules.

My/Our address for services in India is '{{serviceAddress}}'

{{form8Date}}

Signature

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{{signatureName}}

To

The Controller of Patents,

The Patent Office,

At 'CHENNAI'