Appointment of a representative




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DM/7 (E)

HAGUE AGREEMENT


CONCERNING THE INTERNATIONAL REGISTRATION OF INDUSTRIAL DESIGNS


APPOINTMENT OF A REPRESENTATIVE

(POWER OF ATTORNEY)



IMPORTANT


  1. The applicant/holder may appoint a representative to act on his behalf before the International Bureau. The use of this form is not compulsory. It is made available for the convenience of applicants/holders of international registrations.

  2. This form may relate to one or more specified international applications/registrations of the same applicant/holder (refer to Rule 3(2)(b) of the Common Regulations under the 1999 Act and the 1960 Act of the Hague Agreement).

  3. The recording of an appointment of a representative is exempt from the payment of a fee.

This cover page must not be sent to the International Bureau.


World Intellectual Property Organization

34, chemin des Colombettes, P.O. Box 18,

1211 Geneva 20, Switzerland

Tel.: +41 (0)22 338 91 11

Fax (The Hague Registry): +41 (0)22 740 14 29

e-mail: intreg.mail@wipo.int – Internet: http://www.wipo.int


DM/7 (E)

APPOINTMENT OF A REPRESENTATIVE


For use by the applicant/holder

Reference:






For use by the International Bureau




THE APPOINTMENT OF A REPRESENTATIVE RELATES TO (CHOOSE EITHER (A) OR (B))

  1.  THE PRESENT INTERNATIONAL APPLICATION OR REQUEST

OR

  1. (i)  PENDING INTERNATIONAL APPLICATION(S):

Indicate below the international application(s) by the application reference number assigned by the International Bureau or the Office of indirect filing, or the applicant’s reference number which was on the application as filed, or the E filing reference number, concerned by the appointment of the representative:





(ii)  INTERNATIONAL REGISTRATION(S):

Indicate below the international registration number(s) concerned by the appointment of the representative:










appointed REPRESENTATIVE*

Full name:

Address:

Postal code: City: Country:

Telephone: Fax:

E-mail address:

Name of the person to contact, if necessary:

* Pursuant to Rule 3(1) of the Common Regulations Under the 1999 Act and the 1960 Act of the Hague Agreement, only one representative may be appointed. If several representatives are indicated, only the one indicated first shall be considered to be a representative and be recorded as such. If a partnership or firm of attorneys or agents has been indicated as representative before the International Bureau, it shall be regarded as one representative.






APPLICANT/HOLDER (as recorded in the International Register)

Full name:

Signature:

Date of signature (dd/mm/yyyy):






DM/7 (E) – March 2016


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