FORM-28

THE PATENTS ACT, 1970 (39 of 1970)

AND

THE PATENTS RULES, 2003

TO BE SUBMITTED BY SMALL ENTITY/ STARTUP/ EDUCATIONAL INSTITUTION

[See rule 2(fa), 2(fb), 2(ca) and 7]

I, {{applicantName}}, having premises at {{applicantAddress}}, applicant/patentee in respect of the Patent Application No. {{applicationNumber}} hereby declare that we are {{entityType}} in accordance with rule 2(ca) and submit the following documents as proof:

{{reason}}

{{proofDocuments}}

The information provided herein is correct to the best of my knowledge and belief.

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