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Controller General of Patents, Designs &

Trade Marks
G.A.R.6
[See Rule 22(1)]
RECEIPT
Docket No 66796 Date/Time 2017/10/27 15:34:28

Dr Pritam Gajkumar Shah 301

Subhodaya Enclave, Next to PF Office ,
RR Nagar, Bangalore Email:
wsnpgs@gmail.com

Ref.
Sr. Amount C.B.R. Fee
No./Application App. Number Remarks
No. Paid No. Payment
No.
An apparatus and method using air balloon embedded
TEMP/E-1/38931/2017-
1 201741038146 1600 33375 Full concrete blocks to reduce dead load in partition walls
CHE
for the Reinforced Cement Concrete structures

TransactionID Payment Mode Challan Identification Number Amount Paid Head of A/C No
N-0000314035 Online Bank Transfer 02806342710201750396 1600.00 1475001020000001

Total Amount : 1600

Amount in Words: Rupees One Thousand Six Hundred Only
Received from Dr Pritam Gajkumar Shah the sum of 1600 on account of Payment of fee for above mentioned
Application/Forms.
* This is a computer generated receipt, hecnce no signature required.

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https://ipindiaonline.gov.in/epatentfiling/DuplicateCBRPrint/DuplicateCBRPrint 15-12-2017