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PATENT

Form 26
THE PATENTS ACT, 1970
(39 of 1970)
Form of Authorisation of a Patent Agent in a matter or proceeding under the Act
(Sec.127 and 132; rule 135)

I/We

......................................................................................................................................... .............................................................................. hereby authorise P.M.George Kutty, Advocate and Patent Agent No. IN/PA 516 of PMG ASSOCIATES, Advocates & Patent Attorneys, EF 7/10, Vasanth Nagar, Palarivattom, Cochin 682025, India to act on my/our behalf in connection with....................................................................................................................................
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and request that all notices, requisitions and communications relating thereto may be sent to such person at the above address unless otherwise specified

I/We hereby revoke all previous authorisations, if any, in respect of the same matter or proceeding.

I/We hereby assent to the action already taken by the said person in the above matter.

Dated this the ............. day of ............................ 200.....

Signature

To The Controller of Patents The Patent Office at …………...