consultores de patentes asociados FOREIGN DEPARTMENT Tef. (34) 94 410 22 84 P.O. Box 836 BILBAO-SPAIN Fax (34) 94 421 51 00 e-mail: acopat@acopat.com General Salazar, 10 48012 BILBAO (Spain) English Translation ESPAÑA SPAIN AUTORIZACIÓN-PODER POWER OF ATTORNEY 1. El abajo firmante, 2. Con residencia en The undersigned ..........................……… residing in .....................................……… Confiere a: D. JOSE IZQUIERDO FACES, Agente Oficial de la Propiedad Industrial 0486/3, con domicilio en Bilbao, poder amplio y suficiente, con facultad de delegar y revocar el encargo, para que, en representación suya y de acuerdo con la legislación vigente sobre la Propiedad Industrial, haga toda clase de diligencias para: Hereby grants to ...........................……... Official Patent and Trademark Agent, a full and a sufficient power of attorney to file in his (or their) name, and in accordance with the legislation in force concerning Industrial Property…………... 3. y a tales efectos realice las gestiones y ejercite las acciones o Recursos que estime necesarios cerca de la Oficina Española de Patentes y Marcas u otro Organismo, o bien renuncie al expediente. and to this effect prosecute the application and transact all business in the Spanish Patent and Trademark Office or other Organism in connection therewith, or to waive the case. In testimony thereof, and to all legal effects, the present power of attorney is given and subscribed. In......………...this......... day of ........20.... Y para que conste a los efectos legales, libra la presente Autorización 4. 5. En a de HOW TO FILL IN 1. 2. 3. 4. 5. Applicant’s name, either individual of company City, country and/or state Leave blank or describe in Spanish City – Date Signature. If applicant is a firm or corporation, the complete name thereof should be stated. An authorized officer (in the case of a corporation or association) will sign underneath stating his/her full name and position in the applicant firm. No legalization is required. Acepto esta Autorización, El Agente Oficial, JOSÉ IZQUIERDO de 2011 firma: