FORM 1 (FOR OFFICE USE ONLY)

THE PATENTS ACT 1970 (39 of 1970) and

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
Amount of Fee paid:
CBR No:
Signature:

1. APPLICANT'S REFERENCE/ IDENTIFICATION

NO. (AS ALLOTTED BY
OFFICE)
2. TYPE OF APPLICATION [Please tick
() at the appropriate category
Ordinary () Convention () PCT-NP ()
Divisional Patent of Divisional () Patent of Divisional ()Patent of
Addition () Addition () Addition ()
N/A N/A N/A N/A N/A N/A
3A. APPLICANT(S)

Name in Full Nationality Country ofAddress of the Applicant

Residencee
EARTHFOKUS Indian Startup India House # 22,
EARTHWISE Company
PRIVATE LIMITED Street Canal Road,
Thiruvanmiyur
City Chennai

State Tamil Nadu

India
Country

Pin code 600041.

38. CATEGORY OF APPLICANT(Please tick () at theappropriatecategory

Natural Person ()
Other than Natural Person
Small Entity ()
Startup( ( ) Others ()Signature Not
Digitally Signed.
Name: V. SARAVAN
Date: 16-Mar-2023 1
Reason: Patent Efilin
Location: DELHI
4. INVENTOR(S) [Please tick ( )at the appropriate category]
Are all the inventor(s)
same as the Applicant(s) Yes () No ()

named above?
If "No", furnish the details of the inventor(s)
Name in Full Nationality Country of Address of the Inventor
Residence
Sankarakrishnan Arun Indian India 296A, 9th Avenue, 2nd Main Road
Subramanian Seashore Town, Panaiyur,
Chennai-600119.

Haribabu Sathish
Ph:+91996299662 2
Indian India 39/18A, M.C. M Garden 3rd
Street, OId Washermenpet,
Chennai- 600021.
Ph: +919363376503

Ganesan Anandraj Indian India 5, Madhava, Perumal North Street,

Alandur, Chennai-600016.
Ph: +919841321497

Gajendran Sakthivel Indian India 1/298, East Coast Road,

Kottivakkam, Chennai-600041.
Ph: +917010270439

5. TITLE OF THE INVENTION:

AN ADAPTABLE EVAPORATED WATER RECOVERY SYSTEM FOR COoLING TOWERS

6. AUTHORISED REGISTERED PATENT| IN/PA No. 3276

AGENT(S) Name V.SARAVANARAJA

Mobile No. 9842004190

FOR SERVICE OF Name EARTHFOKUS EARTHWISE PRIVATE

7. ADDRESS
LIMITED
APPLICANT IN INDIA
Postal Address 22, Canal Road, Thiruvanmiyur,
Chennai- 600041.

Telephone # N/A
Mobile # 9842004190/7395972662
Fax # N/A
E-mailID info@earthfokus.com
patent@intelIroot.com
saravanaraja.eee@gmail.com
 OF APPLICATION FILED IN CONVENTION
CASE OF APPLICATION CLAIMING PRIORITY
8. IN
APPLICATION
coUNTRY, PARTICULARS OF cONVENTION
Name of the Title of the IPC (as classified
Country Application Filing
Number date applicant inventioon in the convention
country)
N/A N/A N/A N/A N/A N/A
9. IN CASE OF PCT NATIONAL PHASE APPLICATION, PARTICULARS OF INTERNATIONAL
APPLICATION FILED UNDER PATENT CO-OPERATION TREATY (PCT)
International filing date
International application number
N/A N/A
10. IN CASE OF DIVISIONAL APPLICATION FILED UNDER SECTION 16, PARTICULARS OF
ORIGINAL (FIRST) APPLICATIONN/A
Original (first) application No. Date of filing of original (first) application
11. IN CASE OF PATENT OFADDITION FILED UNDER SECTION 54, PARTICULARS OF MAIN
APPLICATION OR PATENT
Main application/patent No. Date of filing of main application
12.DECLARATIONSS
(i) Declaration by the inventor(s)
(In case the applicant is an assignee: the inventor(s) may sign herein below, or the applicant
may 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).
We, the above-named inventor(s) are the true & first inventor(s) for this Invention and
declare that the applicant herein is our assignee or legal representative. Not applicable
(a) Date
(b) Signature:
(c) Name
(i) Declaration by the applicant(s) in the convention country N/A
(In case the applicant in India is different than the applicant in the convention country: the
applicant in the convention country may sign herein below or applicant in India may upload
the assignment from the applicant in the convention country or enclose the said assignment
with this 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
(ii) Declaration by the applicant(s)
We are the applicant hereby declare(s) that:
Olam in the possession of the above-mentioned invention.
DThe complete specification relating to the invention is filed with this application.
There is no lawful ground of objection(s) to the grant of the Patent to us.
lam thetrue &first inventor(s).
 13. FOLLOwING ARE THE ATTACHMENTS WITH THE APPLICATION
(a) Form 2
Item Details Fee Remarks
Complete specification
Form 1 :1600
No. of Claim(s) Nil Form 9 :2500
Abstract Nil Rs.12100 Form 18A: 8000
No. of Drawing(s) No. of drawings:2
Total fee: 12100

#In case of a
No. of pages:2
complete specification, if the applicant desires to adopt the drawings filed with
his provisional 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 complete
specification are required to be mentioned here.
(b) Complete specification.
(d) Drawings
(g) Statement and Undertaking on Form 3
(h) Declaration of Inventorship on Form5

TotalfeeFmin Gash/Banker's-chequefBaak-Draft-bearing Ne Date.

BaRk
We hereby declare that to the best of My knowledge, information and belief the fact and
matters slated herein are correct and we request that a patent
may be granted to me/us for
the said invention.
Dated on this 9th day of March 2023.

Authorized signatory:

Name: S Arun Subramanian

Designation: Managing Director
for EARTHFOKUS EARTHWISE PRIVATE LIMITED

To,
The Controller of Patents
ThePatent Office, at Chennai.