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FORM 1 (FOR OFFICE USE ONLY)

THE PATENTS ACT, 1970
(39 of 1970) Application No.: ...............
& Filing Date: ................
THE PATENTS RULES, 2003 Amount of Fee Paid: ...............
APPLICATION FOR GRANT OF PATENT CBR No.: ...............
[See sections 7,54 & 135 and rule 20(1)] Signature: ...............

1. APPLICANT(S):

Sr.No. Name Nationality Address Country State

PROFESSOR & DEAN R&D ,
ELECTRICAL
Dr.JBV ENGINEERING
1 India India Orissa
SUBRAHMANYAM DEPARTMENT, GIET
UNIVERSITY CAMPUS,
GUNUPUR, ODISHA,765022
55/1, F3, C&D BLOCK,
SUBAKEERTHANA APTS,
Dr. M. RAMKUMAR
2 India PERUMAL KOVIL, 1ST India Tamil Nadu
PRABHU
CROSS AT, URAPAKAM
WEST, CHENNAI - 603211
H.NO. 32-67/29, ANTHAIAH
Mr. KOPPULA
3 India COLONY, R.K.PURAM, India Telangana
PRAWAN
SECUNDERABAD -56
ASSOCIATE PROFESSOR,
DEPARTMENT OF ECE,
PRIYADARSHINI
INSTITUTE OF
Dr. T. TECHNOLOGY AND
Andhra
4 RAGHAVENDRA India SCIENCE FOR WOMENS India
Pradesh
VISHNU (PITW), CHINTALAPUDI
VILLAGE , TENALI
MANDAL, GUNTUR
DISTRICT, ANDHRA
PRADESH, INDIA.
C/o.ST. MARY'S GROUP OF
INSTITUTIONS
Dr.RAGHAVA GUNTUR,GUNTUR- Andhra
5 India India
YATHIRAJU BAPATLA HIGHWAY Pradesh
,CHEBROLU(V&M)
GUNTUR Dt-522212.
PROFESSOR, DEPARTMENT
OF ELECTRONICS AND
COMMUNICATION
ENGINEERING,KONERU
Dr.POKKUNURI LAKSHMAIAH EDUCATION Andhra
6 India India
PARDHA SARADHI FOUNDATION, OFFICIALLY Pradesh
KL DEEMED TO BE
UNIVERSITY,VIJAYAWADA,
ANDHRA PRADESH -
522502, INDIA
7 Dr. G RAMAKRISHNA India SIVARAO PETA, RAJULA India Andhra

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STREET, D-NO-2-13-2(1), Pradesh

BHIMAVARAM-2, WEST
GODAVARI DISTRICT, PIN
CODE:-534202.
PROFESSOR & PRINCIPAL,
DEPARTMENT OF
MECHANICAL
Dr. CHIRRA KESAVA ENGINEERING, NEWTON'S Andhra
8 India India
REDDY INSTITUTE OF SCIENCE Pradesh
AND TECHNOLOGY,
MACHERLA, GUNTUR, AP -
522426, INDIA.
NO.18, GANDHI NAGAR,
4TH CROSS STREET,
9 Mr.E.MURALI India India Tamil Nadu
KODUNGAIYUR,
CHENNAI-600118
105-H BLOCK, 4/12,
MARVEL APOORVA
APARTMENTS,
10 Dr. A. RAJALINGAM India India Tamil Nadu
KALASATHAMMAN KOIL
STREET, RAMAPURAM,
CHENNAI - 600089

2. INVENTOR(S):

Sr.No. Name Nationality Address Country State

PROFESSOR & DEAN R&D ,
ELECTRICAL
Dr.JBV ENGINEERING
1 India India Orissa
SUBRAHMANYAM DEPARTMENT, GIET
UNIVERSITY CAMPUS,
GUNUPUR, ODISHA,765022
55/1, F3, C&D BLOCK,
Dr. M. SUBAKEERTHANA APTS,
2 RAMKUMAR India PERUMAL KOVIL, 1ST India Tamil Nadu
PRABHU CROSS AT, URAPAKAM
WEST, CHENNAI - 603211
H.NO. 32-67/29, ANTHAIAH
Mr. KOPPULA
3 India COLONY, R.K.PURAM, India Telangana
PRAWAN
SECUNDERABAD -56
ASSOCIATE PROFESSOR,
DEPARTMENT OF ECE,
PRIYADARSHINI
INSTITUTE OF
Dr. T. TECHNOLOGY AND
Andhra
4 RAGHAVENDRA India SCIENCE FOR WOMENS India
Pradesh
VISHNU (PITW), CHINTALAPUDI
VILLAGE , TENALI
MANDAL, GUNTUR
DISTRICT, ANDHRA
PRADESH, INDIA.
5 Dr.RAGHAVA India C/o.ST. MARY'S GROUP OF India Andhra
YATHIRAJU INSTITUTIONS Pradesh
GUNTUR,GUNTUR-
BAPATLA HIGHWAY

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,CHEBROLU(V&M)
GUNTUR Dt-522212.
PROFESSOR, DEPARTMENT
OF ELECTRONICS AND
COMMUNICATION
ENGINEERING,KONERU
Dr.POKKUNURI
LAKSHMAIAH EDUCATION Andhra
6 PARDHA India India
FOUNDATION, OFFICIALLY Pradesh
SARADHI
KL DEEMED TO BE
UNIVERSITY,VIJAYAWADA,
ANDHRA PRADESH -
522502, INDIA
SIVARAO PETA, RAJULA
STREET, D-NO-2-13-2(1),
Dr. G Andhra
7 India BHIMAVARAM-2, WEST India
RAMAKRISHNA Pradesh
GODAVARI DISTRICT, PIN
CODE:-534202.
PROFESSOR & PRINCIPAL,
DEPARTMENT OF
MECHANICAL
Dr. CHIRRA ENGINEERING, NEWTON'S Andhra
8 India India
KESAVA REDDY INSTITUTE OF SCIENCE Pradesh
AND TECHNOLOGY,
MACHERLA, GUNTUR, AP -
522426, INDIA.
NO.18, GANDHI NAGAR,
4TH CROSS STREET,
9 Mr.E.MURALI India India Tamil Nadu
KODUNGAIYUR,
CHENNAI-600118
105-H BLOCK, 4/12,
MARVEL APOORVA
Dr. A. APARTMENTS,
10 India India Tamil Nadu
RAJALINGAM KALASATHAMMAN KOIL
STREET, RAMAPURAM,
CHENNAI - 600089

3. TITLE OF THE INVENTION: MACHINE LEARNING TECHNIQUES FOR EARLY DETECTION

OF STROKE BASED SIGNALS

4. ADDRESS FOR CORRESPONDENCE OF APPLICANT / Telephone No.:

AUTHORISED PATENT AGENT IN INDIA: Fax No.:
No 325 17th Main B Block 3rd Stage Vijayanagar Mysuru
570030 Mobile No: .............
E-mail: sgowthami12@gmail.com

5. PRIORITY PARTICULARS OF THE APPLICATION(S) FILED IN CONVENTION COUNTRY:

Application
Sr.No. Country Filing Date Name of the Applicant Tilte of the Invention
Number

6. PARTICULARS FOR FILING PATENT COOPERATION TREATY (PCT) NATIONAL PHASE

APPLICATION:

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International Application Number International Filing Date as Allotted

by the Receiving Office
PCT//

7. PARTICULARS FOR FILING DIVISIONAL APPLICATION

Original (first) Application Number Date of Filing of Original (first) Application

8. PARTICULARS FOR FILING PATENT OF ADDITION:

Main Application / Patent Number: Date of Filing of Main Application

9. DECLARATIONS:
(i) Declaration by the inventor(s)
I/We ,Dr.JBV SUBRAHMANYAM,Dr. M. RAMKUMAR PRABHU,Mr. KOPPULA PRAWAN,Dr. T.
RAGHAVENDRA VISHNU,Dr.RAGHAVA YATHIRAJU,Dr.POKKUNURI PARDHA SARADHI,Dr. G
RAMAKRISHNA,Dr. CHIRRA KESAVA REDDY,Mr.E.MURALI,Dr. A. RAJALINGAM, is/are the true &
first inventor(s) for this invention and declare that the applicant(s) herein is/are my/our assignee or legal
representative.
(a) Date: -----
(b) Signature(s) of the inventor(s): ...............
(c) Name(s): Dr.JBV SUBRAHMANYAM,Dr. M. RAMKUMAR PRABHU,Mr. KOPPULA
PRAWAN,Dr. T. RAGHAVENDRA VISHNU,Dr.RAGHAVA YATHIRAJU,Dr.POKKUNURI PARDHA
SARADHI,Dr. G RAMAKRISHNA,Dr. CHIRRA KESAVA REDDY,Mr.E.MURALI,Dr. A. RAJALINGAM

(ii) Declaration by the applicant(s) in the convention country

I/We, the applicant(s) in the convention country declare that the applicant(s) herein is/are my/our assignee
or legal representative.
(a) Date: -----
(b) Signature(s) : ...............
(c) Name(s) of the singnatory: Dr.JBV SUBRAHMANYAM,Dr. M. RAMKUMAR PRABHU,Mr.
KOPPULA PRAWAN,Dr. T. RAGHAVENDRA VISHNU,Dr.RAGHAVA YATHIRAJU,Dr.POKKUNURI
PARDHA SARADHI,Dr. G RAMAKRISHNA,Dr. CHIRRA KESAVA REDDY,Mr.E.MURALI,Dr. A.
RAJALINGAM

(iii) Declaration by the applicant(s)

The Complete specification relationg to the invention is filed with this application.
I am/We are, in the possession of the above mentioned invention.
There is no lawful ground of objection to the grant of the Patent to me/us.

10. FOLLOWING ARE THE ATTACHMENTS WITH THE APPLICATION:

Sr. Document Description FileName

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I/We hereby declare that to the best of my/our knowledge, information and belief the fact and matters
stated hering are correct and I/We request that a patent may be granted to me/us for the said invention.

Dated this(Final Payment Date): ------------

Signature: ...............
Name: Gowthami S
To The Controller of Patents
The Patent office at KOLKATA

This form is electronically generated.

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