FORM -15
THE PATENTS ACT, 1970
(39 of 1970)
APPLICATION FOR THE RESTORATION OF PATENT
(See section 60 and rule 681

I/We1………………………………………………………………………………..
hereby apply for an order of the Controller for the restoration of Patent No…..

dated…………granted to………………………..
The circumstances, which led to the failure to pay the renewal fee of Rs………………….
(Rupees………………………only) on or before………………………………are as follows :
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I/We declare that I/we have not assigned the patent to any other person(s) and that the facts

and matters stated herein are true to the best of my/our knowledge information and belief.
Dated this day……………. of 19……………. /20………………
Signature2
( ) 3
To
The Controller of Patents,
The Patent Office,
At…………………..
Fee: See the First Schedule.
1. Insert the name, address nationality of the applicant.
2. To be signed by the applicant (s) or if the applicant (s) is/are absent from India, by

authorised registered Patent agent.
3. Name of the natural person who has signed.