Appointment of a Representative

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DM/7 (E)

APPOINTMENT OF A REPRESENTATIVE
(POWER OF ATTORNEY)

IMPORTANT
1.

You may use this form to appoint a representative to act on your behalf before WIPO or
to replace a representative as previously recorded. The use of this form is not
compulsory.

2.

The form may be used for multiple international applications and/or registrations of the
same applicant or holder.

3.

There is no fee for requesting the appointment of a representative.

4.

Complete this form electronically; WIPO does not accept handwritten forms.

5.

All fields are mandatory unless indicated otherwise. Failure to complete all fields will
result in the non-recording of this appointment.

6.

Avoid printing and scanning this form. Upload the completed and signed form directly to
WIPO through Contact Hague.

March 2023

DM/7 (E)
APPOINTMENT OF A REPRESENTATIVE
I hereby appoint the following person/entity to represent me before WIPO with respect to the
international application(s)/registration(s) identified below.
For use by the applicant/holder
Reference (optional):
Number of continuation sheets (if any):
For use by WIPO

1.

Applicant/Holder

Full name:
As recorded or to be recorded in the International Register

Email address:
Telephone
(optional):

Include country and area code, e.g. +41 22 338 7575.

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2.

Appointed Representative

Only one representative may be appointed. Note: a legal firm is regarded as one representative. If both a natural
person and a legal entity are indicated, the representative will be recorded with the name of the legal entity preceding
the name of the natural person.

The representative is a:
Natural person:

Legal entity:

Family (last) name
Given (first) name

Official designation (legal nature)

Address:
E.g. street, house number (if any)

Postal code:
City:
Region/state (optional):
Country:
Email address:
WIPO will send all communications to this email address. The email
address must be accurate and kept up to date.

Telephone (optional):
Include country and area code, e.g. +41 22 338 7575.

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3.

International Application(s)/International Registration(s)

International
application(s):

Provide the application reference number (assigned by WIPO or the Office of indirect filing),
or the applicant’s reference number (included on the original application as filed) for each
international application concerned (e.g. 123456789, WIPO12345). Separate multiple
reference numbers with a semicolon.

International
registration(s):

Provide the international registration number for each international registration
concerned (e.g. DM/123456). Separate multiple registration numbers with a semicolon.

If the space provided is not sufficient, check this box and use a continuation sheet.

4.

Signature of the Applicant/Holder

Date:
Day/month/year

Signature:

Text string signatures (e.g. /John Doe/) are recommended. Signatures may also be handwritten,
printed, stamped, typed or in another electronic form (image, digital or computer generated).