FORM-18
THE PATENTS ACT, 1970
(39 of 1970)
APPLICATION FOR COMPULSORY LICENCE
[See sections 84(l), 96(l) and 97(i) and rule 33-I, 80 and
sections 84(l) and 97(l) as modified by section 24C]

I/We1…………………………………………………………………………..
........................................................................……………………………………
hereby apply for the grant of a compulsory licence under Patent No. ..……………
dated………….granted to……………for which the patentee is………………… 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……………………
(a) …………………………………………………………………………
(b) …………………………………………………………………………
(c) …………………………………………………………………………
MY/Our address for service in India is:
3......................................................................................................................................
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Dated this………….day of 19………./20………
Signature4 
(              ) 5 
To
The Controller of Patents,
The Patent Office,
At……………………….
See the First Schedule.
1. Name, address and nationality of the applicant(s).
2. Certified copies of the documents are to be enclosed in duplicate.
3. Complete address including postal code and state along with Telephone and Telefacsimile number (s).
4. To be signed by the applicant(s) or if the applicant(s) is/are absent from India by authorised registered patent agent.
5. Name of the natural person who has signed.