FORM3
THE PATENTS
ACT,1970(39of1970)
and
THEPATENTSRULES,2003
STATEMENTANDUNDERTAKINGUNDERS
ECTION8
(Seesection8;
Rule12)
1.Nameoftheapplicant(s). I/We, Mr. First applicant et. al., all are citizen of India,
Address of one of the Applicant: address
2. Name, address and (i) thatI/
nationality Wehavenotmadeanyapplicationforthesame/
ofthejointapplicant. substantially the same invention outside
IndiaOr
(ii) that I/We who have made this application
No…dated alone/jointly with.............................,
madefor the same/
substantiallysameinvention,application(s) for
patent in the other countries,
theparticularsofwhichare given below:
Name of Date Applicati Status of Date Dateofgrant
theCountr ofApplica on No. theApplicat ofPublicat
y tion ion ion
- - - - - -
3. Name and address of (iii)thattherightsintheapplication(s)has/
theassignee havebeen assigned to
……………… none
……………………
…………………………………………………………
…………………………thatI/
Weundertakethatuptothedateofgrantofthepa
tentbytheController, I/We would keep him
informed in
writingthedetailsregardingcorrespondingappl
icationsforpatentsfiledoutsideIndiawithinsix
monthsfrom thedateof filingof
suchapplication.
Datedthis05thDay of May2025
4.Tobesignedby theapplicant orhis Signature:
authorizedregisteredpatentagent.
5.Nameofthenaturalpersonwhohassigned.
Mr. first applicantet.al.
NameoftheApplicant(s)
To
The Controller of
Patents,ThePatent
Office,at
Delhi
Note. -Strikeoutwhicheverisnotapplicable;