APPLICATION FOR
FINANCIAL ASSISTANCE FOR
PATENTING IN INDIA
1. 2. 3. 4.
Read Guidelines & Instructions before filling the application
form Incomplete applications are liable to be
rejected. Submit two copies of application. If the space provided
in any column is inadequate, attach a sheet.
1.
Title
of invention
2.
Brief
statement about the subject area(s) towhich the invention relates
This
invention relates to
3.
Name
of the inventor(s) with initial expanded: in capitals
Name ( Start with
the
Surname)
Qualification
Designation
4.
Inventor's
postal address
Pin :
State :
Tel:
Fax :
Res Tel :
Email:
:
5.
Applicant's
organisation address, if any (forResearchers in Univ./R&D Instt./ Lab etc)
6.
Applicant's
postal address
Head
of the Organisation (Name)
Pin
State
Tel
Fax
Tel
Email
Email
Pin State Tel Email
7.
Stage
of development
8.
Test
Status
9.
Status
of patent application if any
(a) Have you already filed Patent
Application ? Yes /
No
(a) Have you conducted an
international Patent Search ? Yes / No
(b) if yes, keywords of the technology searched ?
(c) When Conducted (Date) ?
(d) Period Covered ? From to
(d)
Attached the patent search report
Yes / No
11.
Publication (a) Have you published any brochure of the product for
commercialisation ? Yes /No
(b)
If Yes, copy of the product brochure enclosed ? Yes / No (c) Have you published any article in any publication about the
product / process ? Yes / No (d)
If yes, details of publication
(d )Copy of publication
enclosed ? Yes / No
12.
Commercialisation
(a) Have you started
marketing the product incorporating the invention ? Yes /
No (b) Have you conducted
test marketing of the product ? Yes /
No (c) If yes, give
details
(d) Who will buy /use
the product / process ?
13.
Give
a summary of invention highlighting the important feature(s), that
it may be readily understood.
14.
Existing
state-of-the-artHow the function/objective are being performed/achieved
presently
by other available product/processes.
15.
Drawbacks
in existing state-of-the-art
16.
Describe
other solutions to these problems or difficulties
in such a way which clearly sets out the difference
between the present and previous solution:
17.
Any
existing problem(s) or difficulties which the invention overcomes
18.
Utility
of inventioni.e. indicate possible application area(s) of
invention
19.
Objectives
of invention i.e. What invention sets out to
achieve :
20.
Novel
features of the invention Please identify the crucial feature or
features and provide an explanation of why they
contribute to an effective solution to the problem
21.
Advantages
over other known alternatives and substitutes
22.
Detailed
description The detailed description should be
accompanied with diagrams, drawings,
neatly labeled and must
be related to the description.
23.
Details
of processing fee
Draft No. Date: Amount:
Undertaking
In
pursuance to the rules and regulations of National Patent Protection
Scheme of NRDC, I/We hereby
declare and undertake that :
The above information is
true to the best of my/our knowledge and belief.
I/Wehave/have not secured any FA from any institution or
funding agency for the development.
If the information provided
in the application or later on during prosecution of patent
application
is found to be incorrect or abandon the application by not
providing clarifications to the queries
raised at any stage before the grant of the patent, NRDC has the
right to recover all the
expenditure incurred on this application.
I/We will pay patent annuity
which becomes due at the time of grant and subsequently maintain
it at my own cost.
I have gonethrough the rules and regulations of the Scheme and will
abide by them.
I /
Weherebyfurther undertake to indemnify NRDC against any claim for
breachof intellectual
property rights of third party by my patentable technology or the
productdeveloped under
the
patentable technology.
(
)
(
)
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)
1. 2. 3. Signature
& Name of Applicant(s)
Place:
Date:
Remarks
of the Employer
I hereby verify that the
applicant(s) is / arethe sole / true inventor(s) of the invention and the
invention is recommended for consideration for financial
assistance by NRDC. The organizationhas
no objection if the application for the grant of
patent is filed in the name of applicant(s) / name of
organization and inventor(s) jointly / name of organization as
applicant.
Place:
Signature of
the Head of the Institute /
Organisation
Date:
Seal
24.
Check
List for Enclosures: [Tick mark in the appropriate box
as] [A-Not applicable / B-Document
attached / C-To be sent later]
A B C
1.
Detailed description - 2
copies
2.
Reprints / cuttings of your invention, if published in
technical or scientific magazines