我/我們是_____的公民/法人，根據(jù)中華人民共和國專利法第19條的規(guī)定，茲委托_____ (機(jī)構(gòu)代碼：__________)，并由該機(jī)構(gòu)指定其專利代理人_____、_____代為辦理名稱為_______________申請?zhí)?或?qū)＠?/國際申請?zhí)枮開____的專利申請?jiān)谥腥A人民共和國的全部專利事宜。
Pursuant to the Article 19 of the Patent Law of the People’s Republic of China, I/we, citizen/legal entity of_____hereby authorize _____ (Code:_____) to appoint its patent attorney(s)_____ ，_____ to handle all patent affairs related to the application with title as_____ and application number(or patent number)/international application number as_____in the PRC.
委托人姓名或名稱
Authorized by (Name)
_________
委托人簽字或蓋章
Signature or Seal
__________
被委托專利代理機(jī)構(gòu)蓋章
Seal of the Authorized Agent
__________
委托日期
Date of Authorization
__________
