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

I/We, 

hereby authorize Mr. Naveen Chaklan [IN/PA-1874] and Mr. Ravish Jain [IN/PA-2056], Attorneys/Patent Agents to act on my/our behalf in connection with filing of patent application(s) from time to time, to represent me and sign all forms and documents on my/our behalf and to do all acts to be performed by an agent under the provisions of the Indian Patents Act, 1970.

I/We also authorize said Attorneys/Patent Agents 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