Application form for enrollment of IP Facilitator - Saurashtra University
Only for Patent Agents and Practicing IP Firms
Email *
You are Working as *
Name *
(For Government departments/organizations/agencies and practicing law firms are required to give their name. along with their full time patent agent’s details. For Example "XYZ Govt. Dept/XYZ Law Firm - Patent Agent Name"). In case if law firm or Govt. dept. wants to register for many of their available patent agents, they require to repeat registration process for each agent separately.
Patent Agent Registration Number *
IN/PA XXXX (Enter only Number)
Education Qualification *
Area of Specialization for IP Support *
Total Experience in the Field of IP (Years & Month) *
How many provisional/complete patent applications have been filed through you as an Authorized Patent Agent till date? *
How many Design applications have been filed through you as an Authorized Patent Agent till date? *
How many Copyright applications have been filed through you as an Authorized Patent Agent till date? *
How many Trademark applications have been filed through you as an Authorized Patent Agent till date? *
Do You have access for Paid Patent Database? *
E Mail Address *
Postal Address *
City of Business *
Mobile Number *
LinkedIn Profile *
Any Achievements / Awards / Other Details
I agree all the Terms and Conditions of Saurashtra University for Empanelment of IP Facilitator at Saurashtra University *
A copy of your responses will be emailed to the address you provided.
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