FORM - 3

THE PATENTS ACT, 1970 (39 of 1970)

and

THE PATENTS RULES, 2003

STATEMENT AND UNDERTAKING UNDER SECTION 8

(See section 8; Rule 12)

I, {{applicantName}} hereby declare:

that I {{applicantName}} address at {{applicantAddress}}, {{applicantNationality}}, have not made any application for the same/substantially the same invention bearing Application No. {{applicationNumber}} Outside India.

Details of application(s) outside India:

{{applicationsOutsideIndiaRows}}

Name of the Country	Date of Application	Application No.	Status of the Application	Date of Publication	Date of Grant

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