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Form 1

The document appears to be an application form for a patent grant. It provides information about the applicants, inventors, title of the invention, authorized patent agents, and addresses. It also includes checkboxes and fields for priority patent applications.
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0% found this document useful (0 votes)
28 views6 pages

Form 1

The document appears to be an application form for a patent grant. It provides information about the applicants, inventors, title of the invention, authorized patent agents, and addresses. It also includes checkboxes and fields for priority patent applications.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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“FORM 1

THE PATENTS ACT 1970 (39 of 1970) and (FOR OFFICE USE ONLY)
THE PATENTS RULES, 2003
APPLICATION FOR GRANT OF PATENT
(See section 7, 54 and 135 and sub-rule (1) of rule 20)
Application No.
Filing date:
Amount of Fee
paid:
CBR No:
Signature:
1. APPLICANT’S REFERENCE /
IDENTIFICATION NO. (AS ALLOTTED BY
OFFICE)
2. TYPE OF APPLICATION *Please tick (√) at the appropriate category

Ordinary (√ ) Convention ( ) PCT-NP ( )


Divisional Patent of Divisional Patent of Divisional Patent of
() Addition ( ) () Addition ( () Addition ( )
)
3A. APPLICANT(S)
Name in Full Nationality Country of Address of the Applicant
Residence
MALAVIYA NATIONAL Indian India JAWAHAR LAL NEHRU MARG,
INSTITUTE OF TECHNOLOGY JHALANA GRAM, MALVIYA
(MNIT) NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
3B. CATEGORY OF APPLICANT [Please tick (√) at the appropriate category]
Natural Person ( ) Other than Natural Person
Small Entity ( ) Startup ( ) Others (√ )
4. INVENTOR(S) [Please tick (√) at the appropriate category]
Are all the inventor(s) same as the Yes ( ) No (√)
applicant(s) named above?
If “No”, furnish the details of the inventor(s)
Full name of inventor(s) Nationality Country of Address of the Inventor
Residence
DR ARUN KUMAR VERMA Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
MANASWAI Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
PAVAN TOMAR Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
N SANDEEP Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
UDAYKUMAR RY Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
KIRTI MATHURIA Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
SANGEETA NEHRA Indian India MALAVIYA NATIONAL
INSTITUTE OF TECHNOLOGY,
JAWAHAR LAL NEHRU MARG,
JHALANA GRAM, MALVIYA
NAGAR,
City JAIPUR
State RAJASTHAN
Country India
Pin code 302017
5. TITLE OF THE INVENTION
“A FULL-BRIDGE DC-DC CONVERTER WITH VOLTAGE SPIKES SUPPRESSION FOR EV
BATTERY CHARGING”
6. AUTHORISED REGISTERED PATENT IN/PA No.
13, 210, 211, 614, 1159, 1814,
AGENT(S) 2257, 2345, 2750, 3328
Name G.S. DAVAR, SUDIPTA
BANERJEE, INDIRA
BANERJEE, P.D. GUPTA,
SOMA RANI MISHRA,
SAURABH VAID,
SUCHANDA SAHA, AYUSH
SRIVASTAVA, DIPTARKA
RAY, DEEPAK SINGH AND
SHIVANG MISHRA
7. ADDRESS FOR SERVICE OF APPLICANT IN Name L. S. DAVAR & CO.,
INDIA Postal Patent and Trademarks Attorney,
Address F-1/2, Okhla Industrial Area,
Phase-I, New Delhi-110020,
India
Telephone Telephone No: (+911) (011)
No. 26811041, 26811042
Mobile No. 9899090229
Fax No. Fax No : (+91) (011) 26811043
E-mail ID E-mail: delhi@lsdavar.in
mailsdelhi@lsdavar.in
8. IN CASE OF APPLICATION CLAIMING PRIORITY OF APPLICATION FILED IN
CONVENTION COUNTRY, PARTICULARS OF CONVENTION APPLICATION
Country Application Filing Name of the Title of the IPC (as classified in the
Number date applicant invention convention country)
NA NA NA NA NA
9. IN CASE OF PCT NATIONAL PHASE APPLICATION, PARTICULARS OF
INTERNATIONAL APPLICATION FILED UNDER PATENT CO-OPERATION TREATY (PCT)
International application number International filing date
NA NA
10. IN CASE OF DIVISIONAL APPLICATION FILED UNDER SECTION 16, PARTICULARS OF
ORIGINAL (FIRST) APPLICATION
Original (first) application No. Date of filing of original (first) application
NA NA
11. IN CASE OF PATENT OF ADDITION FILED UNDER SECTION 54, PARTICULARS OF
MAIN APPLICATION OR PATENT
Main application/patent No. NA Date of filing of main application
12. DECLARATIONS
(i) Declaration by the inventor(s)
(In case the applicant is an assignee: the inventor(s) may sign herein below, or the applicant may upload
the assignment or enclose the assignment with this application for patent or send the assignment by
post/electronic transmission duly authenticated within the prescribed period).
We, the above-named inventor(s) is/are the true & first inventor(s) for this Invention and declare that the
applicant(s) herein is/are my/our assignee or legal representative.

S. No. Name Signature Date


1. DR ARUN KUMAR VERMA

2. MANASWAI

3. PAVAN TOMAR

4. N SANDEEP

5. UDAYKUMAR RY

6. KIRTI MATHURIA

7. SANGEETA NEHRA

(ii) Declaration by the applicant(s) in the convention country


(In case the applicant in India is different than the applicant in the convention country: the
applicant in the convention country may sign herein below or applicant in India may
upload the assignment from the applicant in the convention country or enclose the said
assignment with this application for patent or send the assignment by post/electronic
transmission duly authenticated within the prescribed period)
We, the applicant(s) in the convention country declare that the applicant(s) herein is/are my/our assignee or
legal representative.
(a) Date
(b) Signature(s)
(c) Name(s) of the signatory: MALAVIYA NATIONAL INSTITUTE OF TECHNOLOGY (MNIT)
(iii) Declaration by the applicant(s)
I/We the applicant(s) hereby declare(s) that: -
(√) I am/ We are in possession of the above-mentioned invention.
(√) The provisional/complete specification relating to the invention is filed with this application.
() The invention as disclosed in the specification uses the biological material from India and the necessary
permission from the competent authority shall be submitted by me/us before the grant of patent to me/us.
(√) There is no lawful ground of objection(s) to the grant of the Patent to me/us.
(√) I am/we are the true & first inventor(s).
(√) I am/we are the assignee or legal representative of true & first inventor(s).
(×) The application or each of the applications, particulars of which are given in Paragraph-8, was the first
application in convention country/countries in respect of my/our invention(s).
(×) I/We claim the priority from the above mentioned application(s) filed in convention country/countries
and state that no application for protection in respect of the invention had been made in a convention
country before that date by me/us or by any person from which I/We derive the title.
(×) My/our application in India is based on international application under Patent Cooperation Treaty (PCT)
as mentioned in Paragraph-9.
(×) The application is divided out of my /our application particulars of which is given in Paragraph-10 and
pray that this application may be treated as deemed to have been filed on DD/MM/YYYY under section 16
of the Act.
(×) The said invention is an improvement in or modification of the invention particulars of which are given
in Paragraph-11.
13. FOLLOWING ARE THE ATTACHMENTS WITH THE APPLICATION
(a) Form 2
Item Details Fee Remarks
Complete/provisional No. of pages: 17
specification)#
No. of Claim(s) No. of claims: 13 Total-77
No. of pages: 03
Abstract No. of pages: 01
No. of Drawing(s) No. of drawings: 06
No. of pages: 06
# In case of a complete specification, if the applicant desires to adopt the drawings filed with his provisional
specification as the drawings or part of the drawings for the complete specification under rule 13(4), the
number of such pages filed with the provisional specification are required to be mentioned here.
(b) Complete specification (in conformation with the international application)/as amended
before the International Preliminary Examination Authority (IPEA), as applicable (2 copies).
(c) Sequence listing in electronic form
(d) Drawings (in conformation with the international application)/as amended before the
International Preliminary Examination Authority (IPEA), as applicable (2 copies).
(e) Priority document(s) or a request to retrieve the priority document(s) from DAS (Digital Access
Service) if the applicant had already requested the office of first filing to make the priority document(s)
available to DAS.
(f) Translation of priority document/Specification/International Search Report/International
Preliminary Report on Patentability.
(g) Statement and Undertaking on Form 3
(h) Declaration of Inventorship on Form 5
(i) Power of Authority
(j)…………………………………………………………………………………………………..
Total fee ……….in Cash/ Banker's Cheque /Bank Draft Bearing No.......... Date…………...on
…………. Bank.
We hereby declare that to the best of my/our knowledge, information and belief the fact and matters slated
herein are correct and I/We request that a patent may be granted to me/us for the said invention.

Dated this 05th day of March, 2020

SAURABH VAID
IN/PA – 1814
L. S. DAVAR & CO.,
APPLICANT’S AGENT

To,
The Controller of Patents
The Patent Office, at Delhi
Note: -
* Repeat boxes in case of more than one entry.
* To be signed by the applicant(s) or by authorized registered patent agent otherwise where mentioned.
* Tick (√)/cross (x) whichever is applicable/not applicable in declaration in paragraph-12.
* Name of the inventor and applicant should be given in full, family name in the beginning.
* Strike out the portion which is/are not applicable.
* For fee: See First Schedule”;

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