PCT Model of General Power of Attorney

PCT
GENERAL POWER OF ATTORNEY
(for several international applications filed under the Patent Cooperation Treaty)
(PCT Rule 90.5)

The undersigned person(s):
(Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)

hereby appoint(s) the following person as:

agent

common representative

Name and address
(Family name followed by given name; for a legal entity, full official designation. The address must include postal code and name of country.)

to represent the undersigned before

all the competent International Authorities
the International Searching Authority only
the Authority specified for supplementary search only: ______________________
(please indicate the Authority(ies) specified for supplementary search)
the International Preliminary Examining Authority only

in connection with any and all international applications filed by the undersigned with the following Office:
__________________________________________________________________________________________ as receiving Office
and to make or receive payments on behalf of the undersigned.

Signature(s) (where there are several persons, each of them must sign; next to each signature, indicate the name of the person signing
and the capacity in which the person signs, if such capacity is not obvious from reading this power):

Date:

_________________________________________________

Form PCT/Model of general power of attorney (for several international applications) (January 2009)