Patents Form 3

FORM 3 

THE PATENTS ACT, 1970 

(39 of 1970)  

and 

THE PATENTS RULES, 2003 

STATEMENT AND UNDERTAKING UNDER SECTION 8 

(See section 8; Rule 12) 

1. Name of the applicant(s). 

I/We_____________________________ 

_______________________________ 

________________________________ 

hereby declare: 

2. Name, address and nationality 

(i)  that  I/We  have  not  made  any  application  for  the 

of the joint applicant. 

same/substantially  the  same  invention  outside 

India 

Or 

(ii)  that 

I/We  who  have  made  this  application 

No____dated 
with  __________,  made 

________alone/jointly 

for 

the  same/ 

substantially  same  invention,  application(s)  for 

patent  in  the  other  countries,  the  particulars  of 

which are given below: 

Date of publication 

Date of grant 

Date of 
application 

Applicati
on No. 

Name of 
the 
country 

Status of 
the 
application 

3.  Name  and  address  of  the 

(iii) that the rights in the application(s) has/have been 

assignee 

assigned 

to____________________________ 

 
 
 
 
________________________________ 

that  I/We  undertake  that  upto  the  date  of  grant  of 

the  patent  by  the  Controller,  I/We  would  keep  him 

informed 

in  writing 

the 

details 

regarding 

corresponding  applications  for  patents  filed  outside 

India within six months from the date of filing of such 

application.  

4.  To  be  signed  by  the  applicant 

Signature. ________ 

Dated this____day of______20____ 

or  his  authorized  registered 

patent agent. 

5.  Name  of  the  natural  person 

(______________).  

who has signed. 

To 

 The Controller of Patents, 

 The Patent Office, 

 at_____________ 

Note.- Strike out whichever is not applicable;