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no “THE GAZETTE OF INDIA : EXTRAORDINARY Pari FORM 27 THE PATENTS ACT, 1970 No Fee (39 of 1970) & ‘The Patents Rules, 2003 Statement regarding the working of the patented invention on commercial scale in India [See section 146(2) and rufe 134(1) J 1. Insert name, {mn the matter of Patent No.. address and awe nationality. ~ 2. State the year to ‘The patentee (s) oF licensee {s) under Patent which the Nonsense hereby furnish the following statement relates statement regarding the working of the patented invention referred to above on @ commercial scale in India for the 3. Give whatever details are {0) The patented invention: ovanabie, 4, ead Retwoted ere evant | (a) if not worked: reasons for aot working and stops being taken for working ofthe inveion (worked: quantum and value (@n Rupees), of the patented produc: i) manufactured mn nee i) ported rom athe counties. (Give country wise detals) (i) the licenses and subvicanses aranied during te yeer: {i state whetner pubic requirement has been ret partyfadequatayto the fullest exert at reasonable price. ‘The facts and matters stated above are true to the best of mylour knowledge, information and belief. Dated this a GY OF scscsesenee eee 200 verses 4, To be signed by person(s) giving Signature’ .. the staternent, To The Controter of Patents ‘The Patent Office at a ‘Note: (a) Strike out whichever is not applicable.” Eee

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