FORM 1 (FOR OFFICE USE ONLY)

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)
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 Division
nal( )( ) Patent of Divisional ( ) Patent of
Addition ( ) Addition ( ) Addition ( )
3A. APPLICANT(S)
Name in Gender Nationality Country of Age Address of the Applicant
Full (optional, Residence (optional,
for for natural
individuals) persons)
- Male - House No.
- Female years Street
- Others - Prefer not City
- Prefer not to disclose
State
to disclose Country
Pin code
Email (OTP
verification
mandatory
-will be
redacted)
Contact
number
(OTP
verification
mandatory
-will be
redacted)
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) [Please tick ( ) at the appropriate category]
Are all the inventor(s) same as the Yes ( ) No ( )
applicant(s) named above?
If “No”, furnish the details of the inventor(s)
Name in Gender Nationality Age (optional, Country of Address of the Inventor
Full (optional, for natural Residence
for natural persons)
persons)
- Male - years House No.
- Female - Prefer not to Street
- Others disclose City
- Prefer not State
to disclose Country
Pin code
5. TITLE OF THE INVENTION

6. AUTHORISED REGISTERED PATENT IN/PA No.

AGENT(S) Name
Mobile No. (OTP
verification
mandatory-will be
redacted)
7. ADDRESS FOR SERVICE OF APPLICANT IN Name
INDIA 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 Filing date Name of the Title of the IPC (as classified in
Number applicant invention 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/electronictransmission 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 No. of pages
specification)#
No. of Claim(s) No. of claims and No. of
pages
Abstract No. of pages
No. of 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.
(b) Complete specification (in conformation with the international application)/as amended before the International
Preliminary Examination Authority (IPEA), as applicable (2 copies).
(c) Sequence listing in electronic form
(d) Drawings (in conformation with the international application)/as amended before the International Preliminary
Examination Authority (IPEA), as applicable (2 copies).
(e) 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.
(f) Translation of priority document/Specification/International Search Report/International Preliminary Report on
Patentability.
(g) Statement and Undertaking on Form 3
(h) Declaration of Inventorship on Form 5
(i) Power of Authority
(j)…………………………………………………………………………………………………..

Total fee ₹……….in Cash/ Banker's Cheque /Bank Draft bearing No.......... Date…………...on ………….
Bank.

I/We hereby declare that to the best of my/our knowledge, information and belief the fact and matters slatedherein
are correct and I/We request that a patent may be granted to me/us for the said invention.

Dated this…………………day of………………….20……………………

Signature:
Name:
To,
The Controller of Patents
The Patent Office, at………………..

Note: -
* Repeat boxes in case of more than one entry.
* To be signed by the applicant(s) or by authorized registered patent agent otherwise where mentioned.
* Tick ()/cross (x) whichever is applicable/not applicable in declaration in paragraph-12.
* Name of the inventor and applicant should be given in full, family name in the beginning.
* Strike out the portion which is/are not applicable.
* For fee: See First Schedule.