Patent Form 5 Declaration as to Inventorship
Category: Intellectual Property and Patents
Updated:
Official IP India Form 5 declaring inventorship, including convention applicant and additional inventor statements, with an editable Word transcription.
FORM 5 The Patents Act, 1970 (39 of 1970) and The Patents Rules, 2003 [See section 10(6) and rule 13(6)] DECLARATION AS TO INVENTORSHIP 1. NAME OF APPLICANT(S): ________________ ________________ I hereby declare that the true and first inventor(s) of the invention disclosed in the complete specification filed in pursuance of my/our application numbered ________________ dated ________________ is/are 2. INVENTOR(S) (a) NAME: ________________ ________________ (b) NATIONALITY: ________________ (c) ADDRESS: ________________ ________________ Dated this ________________ day of ________________ 20________________ Signature: ________________ Name of the signatory: ________________ 3.
DECLARATION TO BE GIVEN WHEN THE APPLICATION IN INDIA IS FILED BY THE APPLICANT(S) IN THE CONVENTION COUNTRY: We the applicant(s) in the convention country hereby declare that our right to apply for a patent in India is by way of assignment from the true and first inventor(s). Dated this ________________ day of ________________ 20________________ Signature: ________________ Name of the signatory: ________________ 4. STATEMENT (to be signed by the additional inventor(s) not mentioned in the application form) I/We assent to the invention referred to in the above declaration, being included in the complete specification filed in pursuance of the stated application. Dated this ________________ day of ________________ 20________________ Signature of the additional inventor(s): ________________ Name: ________________ To, The Controller of Patent The Patent Office, at ________________