FORM 15
THE PATENTS ACT, 1970
(39 OF 1970)
&
The Patent Rules, 2003
APPLICATION FOR THE RESTORATION OF PATENT
[See section 60; rule 84]
- Insert the name, address, the nationality of the applicant(s).
- To be signed by the applicant(s) or by his authorized registered patent agent.
- Name of the natural person who has signed.
I/We ……………………………………….…………………………………………………………………………………………….... hereby apply for an order of the Controller for the Restoration of the Patent no. ………………… dated …..……………… granted to …………….......…………………………………………………………………The circumstances which led to the failure to pay the renewal fee to pay the renewal fee for the year ………….. on or before ………….. are as follows: ………………………………………………I/We declare that I/We have not assigned the patent to any other person(s) and that the facts and matters stated herein are true to the best of my/our knowledge information and belief.
Dated this ……...……. day of …………. 20….
Signature
(………………………………)
To
The Controller of Patents
The Patent Office,
At ………………………………
Note: For Fee: See First Schedule