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FORM 26 
THE PATENTS ACT, 1970  
(39 of 1970)

 
Form of Authorization of a Patent Agent in a matter or proceeding under the Act (Sec.127 and 132; rule 135)

 
I/We,…………………………………………………...…………….…..........................................…………..………………………………………...…………….............................................…………..………………………………………...………………….............................……..hereby authorize P.M.George Kutty, Advocate and Patent Agent of PMG ASSOCIATES, EF 7/10, Vasanth Nagar, Palarivattom, Cochin 682025, India to act on my/our behalf in connection with..…………...........................................................……...... ....................................…………..………………………………………...…………………........................................…………..………………………………………...…………………........................................…………..………………………………………...………………….......

and request that all notices, requisitions and communications relating there to may be sent to such person at the above address unless otherwise specified.

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

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

Dated this ..................... day of ............................ 20............

Signature*

To

The Controller of Patents

The Patent Office at Chennai.