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Patent Application Drafting Request Form
1
Personal Information
2
Invention Disclosure
3
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Personal Information
Name of the Startup
*
Applicant name is required.
DPIIT No / UAM
*
Startup Registration No
Address
*
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Country
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State
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District
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E-mail ID
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Contact No
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Company Classification
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Private
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Date Of Registration
*
Date of registration is required and cannot be in the future.
Startup India Registration Certificate
*
UAM certificate is required.
Website
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No. of Inventors
*
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Invention Disclosure
*
(Please describe the invention including, but not limited to, the following information)
1. Invention category
*
Process
Product
Please select one option for Invention category.
Stage of Development (Process Patent)
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Choose
Lab Scale
Pilot Scale
Semi Commercialized
Commercialized
Commercially Proven
Stage of Development (Product Patent)
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Static Model
Prototype
Working Model
Commercialized
Commercially Proven
2. Test Status
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Self Tested
Not Tested
Tested by Government Agency
Tested by Private Agency
Tested by Industry
3. Patent Specifications:
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Filed Provisional Patent
Filed Complete Patent
Not Filed
Patent Filed Date:
Patent Number:
3.a) Enclosed
*
Yes
No
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4. Brief abstract of invention (In about 500 words)
*
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5. Existing state-of-art:(Give full details, including search reports)
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6. Drawbacks in existing state-of-art & how the drawbacks have been overcome by your invention:
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7. Objectives of the invention
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8.Novel features of the invention
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9. Advantages over other known alternatives including imported alternatives
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10.Detailed description (The detailed description should be accompanied with diagrams; drawings neatly labelled and must be related to the description): Signature of all the Inventor(s):
*
It should be typed on one side of A4 size paper leaving left and right margins and should not exceed more than ten pages.
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11.Reprints/cuttings of your invention, if published
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