“F
ORM 1 (FOR OFFICE USE ONLY)
HE PATENTS ACT 1970 (39 of 1970) and
T
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:
mount of Fee
A
paid:
CBR No:
Signature:
1. APPLICANT’S REFERENCE /
I DENTIFICATION NO. (AS
ALLOTTED BY OFFICE)
2. TYPE OF APPLICATION [Please tick ( ) at the appropriate category]
Ordinary ( ) Convention ( ) PCT-NP ( )
Divisional atent of
P ivisional P
D atent of ivisional
D Patent of Addition ( )
( ) Addition ( ) ( ) Addition ( ) ( )
3A. APPLICANT(S)
Name in Full Nationality C
ountry of Address of the Applicant
Residence
RI SAI RAM ENGINEERING INDIAN
S INDIA ouse
H ri Sai Ram Engineering
S
COLLEGE No. College
Street Sai Leo Nagar, West
Tambaram
City Chennai
State Tamil Nadu
Country India
Pin code Chennai – 600044
House No.
ri Sai Ram Engineering
S
College
SUJITH. T Street Sai Leo Nagar, West
ambaram
T
INDIAN INDIA City Chennai
State Tamil Nadu
ountry
C I ndia
Pin code Chennai – 600044
3A. APPLICANT(S)
Name in Full Nationality C
ountry of Address of the Applicant
Residence
House No. ri Sai Ram Engineering
S
College
Street Sai Leo Nagar,
West Tambaram
ADRIN NEVILLE.V INDIAN INDIA
City Chennai
State Tamil Nadu
Country India
Pin code Chennai – 600044
3A. APPLICANT(S)
Name in Full Nationality C
ountry of Address of the Applicant
Residence
House No. ri Sai Ram Engineering
S
College
Street ai Leo Nagar,
S
HEMANTH West Tambaram
INDIAN INDIA
HARIHARAN.A
City Chennai
State Tamil Nadu
Country India
Pin code Chennai – 600044
3A. APPLICANT(S)
Name in Full Nationality ountry of
C Address of the Applicant
Residence
House No. ri Sai Ram Engineering
S
College
r. B.PRIYA
D INDIAN INDIA
(Associate Professor)
Street ai Leo Nagar,
S
West Tambaram
ity
C Chennai
State Tamil Nadu
Country India
Pin code Chennai – 600044
3B. CATEGORY OF APPLICANT [Please tick ( ) at the appropriate category]
Natural Person ( ) Other than Natural Person
Small Entity (x) Startup(x) Others ( x )
4. INVENTOR(S) [Please tick ( ) at the appropriate category]
Are all the inventor(s) Yes ( ) No ( )
same as the applicant(s)
named above?
If “No”, furnish the details of the inventor(s)
Name in Full Nationality ountry of
C Address of the inventor
Residence
House No ri Sai Ram
S
Engineering
College
SUJITH. T INDIAN INDIA Street Sai Leo Nagar,
West Tambaram
City Chennai
State Tamil Nadu
Country India
Pin No Chennai – 600044
Name in Full Nationality ountry of
C Address of the inventor
Residence
House No ri Sai Ram
S
Engineering
College
ADRIN NEVILLE.V INDIAN INDIA Street Sai Leo Nagar,
West Tambaram
ity
C Chennai
State Tamil Nadu
Country India
in No
P Chennai – 600044
Name in Full Nationality ountry of
C Address of the inventor
Residence
House No ri Sai Ram
S
Engineering
College
EMANTH
H INDIAN INDIA Street Sai Leo Nagar,
HARIHARAN.A West Tambaram
City Chennai
tate
S Tamil Nadu
Country India
Pin No Chennai – 600044
Name in Full Nationality ountry of
C Address of the inventor
Residence
House No ri Sai Ram
S
Engineering
College
r. B.PRIYA
D INDIAN INDIA Street Sai Leo Nagar,
(Associate Professor) West Tambaram
ity
C Chennai
State Tamil Nadu
Country India
Pin No Chennai – 600044
5. TITLE OF THE INVENTION
“ PET ANALYSIS AND MONITORING SYSTEM USING SMART GPS COLLAR
TECHNOLOGY WITH CLOUD SERVICES”
6. AUTHORISED REGISTERED PATENT IN/PA
AGENT(S)
Name
obile No.
M
7 . ADDRESS FOR SERVICE OF APPLICANT Name Dr. B.PRIYA
IN INDIA (Associate Professor)
Postal AI LEO NAGAR,
S
Address WEST TAMBARAM,
SRI SAI RAM ENGG.COLLEGE
elephone
T
No.
Mobile No. 9487568691
ax No.
F
E-mail ID bpriya.cse@sairam.edu.in
8 . IN CASE OF APPLICATION CLAIMING PRIORITY OF APPLICATION FILED IN
CONVENTION COUNTRY, PARTICULARS OF CONVENTION APPLICATION
Country pplication Filing date
A ame of the
N itle of the
T I PC (as classified in the
Number applicant invention convention country)
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
1 0. 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
1 1. IN CASE OF PATENT OF ADDITION FILED UNDER SECTION 54, PARTICULARS
OF MAIN
APPLICATION OR PATENT
Main application/patent No.
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 applicantmay
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).
I/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. (a) Date
(b) Signature(s)
(i) ……………………………………….
(ii)……………………………………….
(iii)……………………………………….
(iv)……………………………………….
(c) Name(s)
1. SUJITH.T
2. ADRIN NEVILLE.V
3. HEMANTH HARIHARAN.A
4. Dr. PRIYA.B (Associate Professor)
(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 conventioncountrymaysignhereinbeloworapplicantinIndiamayuploadthe
assignment from the applicant in the conventioncountryorenclosethesaidassignmentwiththis
application for patent or send the assignment by post/electronic transmission duly authenticated
within the prescribed period)
I/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
(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.
1 3. FOLLOWING ARE THE ATTACHMENTS WITH THE APPLICATION.
(a) Form 2
Item Details Fee Remarks
Complete/
p rovisional No.of.pages –15
specification
No. of Claim(s) o. of. Claims – 10
N
and
No. of. pages – 02
Abstract No. of. pages – 01
No. of Drawing(s) No. of. pages – 06
# In case of a complete specification, if the applicant desires to adopt the drawings filedwithhisprovisional
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 amendedbeforetheInternational
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
PreliminaryReportonPatentability.(g)Statementand
Undertaking on Form 3 (h) Declaration of Inventorship on
Form 5
(i) Power of Authority
(j) Form 2 with complete specifications, Claims, Abstract & Drawings.
(k) Form 3.
(l) Form 5 .
(m) Form 9 .
(n) Form 18.
(o) Form 28.
(p) AICTE Approval Copy
Total fee ₹…………….in Cash/ Banker's Cheque /Bank Draft bearing No......................Date…………..........on
…………. ……….. Bank.
I /Weherebydeclarethattothebestofmy/ourknowledge,informationandbeliefthefactandmattersslatedherein
are correct and I/We request that a patent may be granted to me/us for the said invention.
Dated this…………………day of………………….20……………………
Signature:
1. …………………………….
2. ……………………………
3. ……………………………
4. ……………………………
5. ……………………………
Name:
1. Dr.J.RAJA (Principal)
2. SUJITH.T
3. ADRIN NEVILLE.V
4. HEMANTH HARIHARAN.A
5. Dr. PRIYA.B (Associate Professor)
To,
The Controller of Patents
The Patent Office,
at Chennai.
