PCT General Power Of Attorney Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
PCT General Power Of Attorney Form. This is a Official Federal Forms form and can be use in PCT US Patent Office.
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PCT
GENERAL POWER OF ATTORNEY
(for several international applications filed under the Patent Cooperation Treaty)
(PCT Rule 90.5)
The undersigned person(s):
(Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
hereby appoint(s) the following person as:
agent
common representative
Name and address
(Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)
to represent the undersigned before
all the competent International Authorities
the International Searching Authority only
the Authority specified for supplementary search: __________________________
(please indicate the Authority(ies) specified for supplementary search)
the International Preliminary Examining Authority only
in connection with any and all international applications filed by the undersigned with the following Office:
__________________________________________________________________________________________ as receiving Office
and to make or receive payments on behalf of the undersigned.
Signature(s) (where there are several persons, each of them must sign; next to each signature, indicate the name of the person signing
and the capacity in which the person signs, if such capacity is not obvious from reading this power):
Date:
_________________________________________________
Form PCT/Model of general power of attorney (for several international applications) (January 2009)
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