Authorisation Forms

DESIGN
FORM 21
THE DESIGNS ACT, 2000
Power of Authority to Agents
(Section 43)

In connection with.........................................
I/We...............................................................
................................... hereby authorize Mr. P.M.George Kutty and/or Mr. Payyakkal Karthikeyan, and/or Mr.Roy Thomas, Advocates of PMG ASSOCIATE.S, 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 .............day of ...............200...
SIGNATURE
To
The Controller of Patents & Designs,
The Patent Office, ..............

PMG ASSOCIATES
Advocates, Patent & Trademark Attorneys
EF7-10, Vasanth Nagar, Palarivattom
Cochin-682 025, INDIA
Tel:+91484 2337856 / 6457856
Fax :+91 484 2347893 / 2337057
E-Mail : info@pmgip.com