Request for Termination of Compulsory Licence (Form 21) (India)
Form 21 under the Patents Rules 2003, used to request termination of a compulsory licence under Section 94 of the Patents Act, 1970, where the circumstances that led to its grant no longer exist.
FORM 21 THE PATENTS ACT, 1970
(39 of 1970)
&
The Patents Rules, 2003
REQUEST FOR TERMINATION OF COMPULSORY LICENCE
[See section 94; rule 102(1)]
Name, address and nationality of the applicant(s).
Certified copies of the documents are to be enclosed in duplicate.
Complete address including postal code and state along with telephone and fax number(s).
To be signed by the applicant(s) or by his authorized registered patent agent.
Name of the natural person who has signed.
I/We¹
hereby apply for the termination of the compulsory licence granted to
by the order of the
Controller dated...under patent No/
No... dated...
granted to...for
which the patentee ...
I/we declare that I am/We are the patentee for the above mentioned patent
I/we declare that I/we derive title/interest in the patent.
I/we make the above mentioned request for termination on the following grounds, namely:
I/we declare that the facts and matters stated herein are true to the best of my/our knowledge, information and belief.
The details of documentary evidence in support of my/our interest and the grounds stated above are given below: ²
...
...
...
My/our address for service in India is: ³
Dated this ... day of... 20
Signature . ⁴
( ) ⁵
To
The Controller of Patents,
The Patent Office,
At ...
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