我/我们_____________________________,是_______国的公民/法人,根据《中华人民共和国知识产权海关保护条例》,兹委托____________________________________________________(地址:________________________________________________________)代理__________________________(授权号:__________)的知识产权海关保护事宜。
Pursuant to relevant provisions of “Reulations of the People‘s Republi of hina overnin ustos Protetion of Intelletual Property Rihts”, I / We, _________________________________, itien / leal entity of _____________, hereby authorie _____________________________ ( Address: ___________________________________) to represent e / us in ustos reordation and protetion atters on intelletual property for y / our IPR _____________________________________ under reistration ertifiate No. _________.
委托单位名称或委托人姓名:
Authoried by (Print or Type Nae): _____________________________
委托单位印章或委托人签字:
Seal or Sinature: _____________________________
委托日期:
Date of Authoriation: _____________________________