Representation

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Fill in the representation form below:

First Name*

Surname*

Company or Law Firm*

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Country*

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Invoice Data

Data for your invoice (if different from above)

I do hereby authorise Stefan Chivarov, Schweigerstr. 2, 81541 Munich, Germany to act for me in all proceedings established by the European Patent Convention concerning the herein named European patent application or patent, and to represent me as* Applicant / Patent Proprietor
Opponent

Application or Patent No.*

Your Reference No.*

Date for taking over representation

In case your representation shall be taken over at a date later than 2 business days from payment

Further provisions:* This authorisation also applies to any proceedings established by the Patent Cooperation Treaty.
This authorisation also covers any European divisional applications.
A sub-authorisation may be given.
I (We) hereby revoke all previous authorisations in respect of the herein named application or patent.

Specific instructions:

I agree with the* GENERAL TERMS AND CONDITIONS and PRIVACY POLICY

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GENERAL TERMS AND CONDITIONS (GTC) / AGB

LEGAL NOTICES / §5 TMG, §55 RStV

PRIVACY POLICY / DSGVO, BDSG

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