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。
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Pursuant to relevant provisions of “Regulations of the People‘s Republic of China Governing Customs Protection of Intellectual Property Rights”, I / We, _________________________________, citizen / legal entity of _____________, hereby authorize _____________________________ ( Address: ___________________________________) to represent me / us in Customs recordation and protection matters on intellectual property for my / our IPR _____________________________________ under registration certificate No. _________.
Authorized by (Print or Type Name): _____________________________
Seal or Signature: _____________________________
Date of Authorization: _____________________________