Form 16 - Request for Registration of Patent Assignment
To,
The Controller of Patents
_________________________ Patent Office
Subject: Request for Registration of Assignment of Patent
Sir/Madam,
I, Mr./Ms. ______________________ (the "Assignee"), residing at ______________________, hereby
request the registration of the assignment of the patent rights relating to the following application/granted
patent:
1. Title of the Invention: ____________________________________
2. Patent Application/Grant No.: ______________________________
3. Filing Date: _______________________________________________
4. Name of Assignor: __________________________________________
5. Address of Assignor: _______________________________________
6. Name of Assignee: __________________________________________
7. Address of Assignee: _______________________________________
8. Date of Execution of Assignment: ___________________________
9. Nature of Assignment: Full / Partial (Please specify)
10. Consideration Amount (if any): Rs. _______________________
The duly executed and notarized Deed of Assignment is enclosed herewith for your records.
Form 16 - Request for Registration of Patent Assignment
Kindly record the said assignment in the Patent Register and acknowledge the same.
Thanking you,
Sincerely,
_________________________ _________________________
(Signature of Assignee) (Date)
Enclosures:
1. Deed of Assignment
2. ID Proofs of Assignor and Assignee
3. Form-26 (if filed through patent agent)
4. Proof of payment of requisite fee