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FORM 1

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Uploaded by

enam professor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Page 1 of 4

FORM 1 (FOR OFFICE USE ONLY)


THE PATENTS ACT, 1970
(39 of 1970) Application No.: ...............
& Filing Date: ................
THE PATENTS RULES, 2003 Amount of Fee Paid: ...............
APPLICATION FOR GRANT OF PATENT CBR No.: ...............
[See sections 7,54 & 135 and rule 20(1)] Signature: ...............

1. APPLICANT(S):

Sr.No. Name Nationality Address Country State Distict City


TEERTHANKAR
MAHAVEER COLLEGE OF
NURSING, TEERTHANKAR Uttar
1 SENTHIL India India 00
MAHAVEER UNIVERSITY, Pradesh
MORADABAD
UTTARPRADESH , INDIA
NO 815/5 FIRST PHASE
FIRST STAGE 16 A CROSS Bangalore
2 DR.M.VIJAYARANI India India Karnataka
GOKULA EXTENSION Urban
BANGALORE - 560054
PROFESSOR KMCH
COLLEGE OF NURSING SF
3 N.B.MAHALAKSHMI India 259&267 KALAPPATTI India Tamil Nadu Coimbatore
(P.O) COIMBATORE -
641048
DEAN, SRM COLLEGE OF
NURSING, FACULTY OF
MEDICAL AND HEALTH
PROF. (DR). HELEN
4 India SCIENCES, SRMIST, India Tamil Nadu Chengalpattu
SHAJI J.C
KAATANKULATHUR,
CHENGALPET DISTRICT,
TAMILNADU
SAVEETHA COLLEGE OF
DR. NURSING SIMATS
5 India India Tamil Nadu Chennai
VIJAYALAKSHMI THANDALAM CHENNAI
[email protected]
TAGORE COLLEGE OF
NURSING TAGORE
MEDICAL COLLEGE AND
6 DR. NIRANJANI.S India India Tamil Nadu Chennai
HOSPITAL CAMPUS
RATHINAMANGALAM
CHENNAI 127
ASSISTANT PROFESSOR
SRM COLLEGE OF
MRS.SELVA MARY NURSING, SRM INSTITUTE
7 India India Tamil Nadu Chennai
DEVAKANI J OF SCIENCE AND
TECHNOLOGY,
KATTANKULATHUR.
ASSISTANT PROFESSOR

https://ipronline.ipindia.gov.in/epatentfiling/online/frmPreview.aspx 27/11/2024
Page 2 of 4

SRM COLLEGE OF
NURSING, SRM INSTITUTE
OF SCIENCE AND
8 MRS.KAVITHA P India India Tamil Nadu Chennai
TECHNOLOGY,
KATTANKULATHUR.
TAMILNADU
ASSOCIATE PROFESSORE,
SMVNC, PUDUCHERRY,
DR.P. NO 30
9 India India Pondicherry Puducherry
MANIMEGALAI SWAMINATHANAYAKAIR
ST, ARIYANNKUPPAM,
PUDUCHERRY
PROFESSOR MEDICAL
SURGICAL NURSING,
DR. CHINNA 41/11: F, VAITHIYA NATHA
10 India India Tamil Nadu Madurai
CHADAYAN. N PURAM, MUNIYANDI
KOVIL STREET, MADURAI,
TAMIL NADU - 625016

2. INVENTOR(S):

Sr.No. Name Nationality Address Country State Distict City


TEERTHANKAR
MAHAVEER
COLLEGE OF
NURSING,
DR
TEERTHANKAR Uttar
1 SENTHIL India India Moradabad MORADABAD
MAHAVEER Pradesh
T
UNIVERSITY,
MORADABAD
UTTARPRADESH ,
INDIA

3. TITLE OF THE INVENTION: "Color-Changing Ostomy Bag with Visual Indicators for Enhanced Patient
Monitoring"

4. ADDRESS FOR CORRESPONDENCE OF APPLICANT / Telephone No.:


AUTHORISED PATENT AGENT IN INDIA: Fax No.:
TEERTHANKAR MAHAVEER COLLEGE OF NURSING,
TEERTHANKAR MAHAVEER UNIVERSITY, Mobile No: 8072078161
MORADABAD UTTARPRADESH , INDIA E-mail: [email protected]

5. PRIORITY PARTICULARS OF THE APPLICATION(S) FILED IN CONVENTION COUNTRY:

Application
Sr.No. Country Filing Date Name of the Applicant Tilte of the Invention
Number

https://ipronline.ipindia.gov.in/epatentfiling/online/frmPreview.aspx 27/11/2024
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6. PARTICULARS FOR FILING PATENT COOPERATION TREATY (PCT) NATIONAL PHASE


APPLICATION:

International Filing Date as Allotted


International Application Number
by the Receiving Office
PCT//

7. PARTICULARS FOR FILING DIVISIONAL APPLICATION

Original (first) Application Number Date of Filing of Original (first) Application

8. PARTICULARS FOR FILING PATENT OF ADDITION:

Main Application / Patent Number: Date of Filing of Main Application

9. DECLARATIONS:

(i) Declaration by the inventor(s)

I/We ,DR SENTHIL T, 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) of the inventor(s): ...............

(c) Name(s): DR SENTHIL T

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

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 singnatory: SENTHIL,DR.M.VIJAYARANI,N.B.MAHALAKSHMI,PROF. (DR). HELEN


SHAJI J.C,DR. VIJAYALAKSHMI,DR. NIRANJANI.S,MRS.SELVA MARY DEVAKANI J,MRS.KAVITHA
P,DR.P. MANIMEGALAI,DR. CHINNA CHADAYAN. N

(iii) Declaration by the applicant(s)

l The Provisional specification relating to the invention is filed with this application.
l I am/We are, in the possession of the above mentioned invention.
l The invention as disclosed in the specification uses the biological material from India and the neccessary
permission from the competent authority shall be submitted by me/us, before the grant of the patent to
me/us.

https://ipronline.ipindia.gov.in/epatentfiling/online/frmPreview.aspx 27/11/2024
Page 4 of 4

l There is no lawful ground of objection to the grant of the Patent to me/us.


l I am/We are, the assignee or legal representative to true first inventors.
l The application or each of the applications, particulars of which are given in Para-5 was the first
application in convention country/countries in respect of my/our invention.
l 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.

10. FOLLOWING ARE THE ATTACHMENTS WITH THE APPLICATION:

Sr. Document Description FileName


1 FORM 1 FORM 1.pdf
2 DRAWINGS NEOGUARD.docx phototherapy.pdf

I/We hereby declare that to the best of my/our knowledge, information and belief the fact and matters stated
hering are correct and I/We request that a patent may be granted to me/us for the said invention.

Dated this(Final Payment Date): ------------

Signature: ...............

Name: SENTHIL

To The Controller of Patents

The Patent office at NEW DELHI

This form is electronically generated.

https://ipronline.ipindia.gov.in/epatentfiling/online/frmPreview.aspx 27/11/2024

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