Authorisation Form

TRADE MARK

FORM TM-48
THE TRADE MARKS ACT, 1999

Agent's Code No:
Proprietor's Code No:

Form of authorisation of an agent
(Section 145; Rule 21)


I/We ....................................................................................................
............................................................................................................
............................................................................................................
hereby authorise Mr. P.M.George Kutty and/or Mr. Payyakkal Karthikeyan
and/or Mr.Roy Thomas, Advocates of PMG ASSOCIATES, EF7-10, Vasanth
Nagar, Palarivattom, Cochin-682025 India, to act as my/our agent for ......
............................................................................................................
............................................... and request that all notices, requisitions
and communications relating thereto may be sent to such agent at the
above address,.
I/ We hereby revoke all previous authorisations, if any, in respect of the
proceeding
All communications relating to this application may be sent to the following
address in India:-
PMG ASSOCIATES
Advocates, Trademark & Patent Attorneys
EF7-10, Vasanth Nagar, Palarivattom
Cochin-682025, India
Dated this..............day of ..............2003
...............................................
SIGNATURE
NAME OF SIGNATORY IN LETTERS
To
The Registrar of Trade Marks
The Office of the Trade Marks Registry at Chennai.

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