Form 21
THE DESIGNS ACT, 2000
Power of Authority to Agents
(Section 43)
In connection with
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I/We
........................................................................................................................................ .............................................................................. hereby authorize Mr. P.M.George Kutty and/or Mr. Payyakkal Karthikeyan, and/or Mr.Roy Thomas, Advocates of PMG ASSOCIATES, EF 7/10, Vasanth Nagar, Palarivattom, Cochin 682025, India to act as my/our Agent(s) and to receive all notices, requisitions and communications until further notice.
And I/We hereby revoke all previous authorizations, if any, in respect of the matter aforesaid.
Dated this the ............. day of ............................ 200....
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To
The Controller of Patents & Designs,
The Patent Office,
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