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FORM FOR AUTHORIZATION OF A PATENT AGENT/OR ANY PERSON IN A MATTER UNDER THE ACT

In connection with securing from the Government of India registration of Design(s) for the term provided in the said Act, in respect of various designs that I/We may apply from time to time and to do any act on my behalf under the provision of the Design Act, 2000, I/We,  address

hereby authorize Mr. Naveen Chaklan [IN/PA-1874]; Dhananjay Modgalya [IN/PA-1854]; and Mr. Ravish Jain [IN/PA-2056], Patent Agents/Attorneys to act as my/our Agent/Attorney to represent me/us and sign all forms and documents on my/our behalf and to do all acts to be performed by an Agent/Attorney under the provisions of the Design Act, 2000.

I/We also authorize said Patent Agents/Attorneys to appoint substitute(s) as may be necessary or expedient.

I/We hereby revoke all previous authorizations, if any.

I/We hereby ratify and agree to ratify all acts and deeds done by the said Attorneys/Patent Agents.

I/We request that all notices, requisitions and communications may be sent to the said attorneys/advocate at the below address.

Delhi Office:
Delhi Intellectual Property LLP 4-K, 4th Floor,
Gopala Tower 25 Rajendra Place
New Delhi-110008, INDIA
Email: patent@delhiip.com
Mobile: +91 991 198 4111
Mumbai Office:
Delhi Intellectual Property LLP 801,
Atlanta Centre, Sonawala Road Sonawala Industry Estate,
Goregaon East Mumbai, Maharashtra-400063,
Email: patent@delhiip.com
+91 829 123 2273
Dated  
Signature_______________  
Name 

To
The Controller of Patents,
The Patent Office, Delhi/Mumbai/Chennai/Kolkata