Power of Attorney Template

Document status: working legal template. Before publication, fill in the details, verify the actual service architecture, and have the text reviewed by a lawyer practicing in the Republic of Uzbekistan.

Service owner: [LEGAL ENTITY NAME], TIN [TIN], address: [ADDRESS].
Service: Belgi.ai, [DOMAIN].
Version: [VERSION NUMBER] dated [DATE].
Contacts: [EMAIL], [PHONE].

Place and date of issue: [CITY, DATE]

[PRINCIPAL: FULL NAME/LEGAL NAME, IDENTIFIER, ADDRESS, LEGAL ENTITY REPRESENTATIVE] authorizes [ATTORNEY/REPRESENTATIVE, DETAILS] to represent the principal’s interests in the trademark application [SIGN/ID], including to:

1. sign and file the application and annexes;
2. receive notices and decisions;
3. file explanations, clarifications and petitions within the approved assignment;
4. pay fees at the principal’s expense if separately agreed;
5. receive documents on the outcome of the procedure.

Without separate written consent the representative may not withdraw the application, waive rights, change the applicant, assign rights or take other dispositive actions.

Term: until [DATE]. Substitution: [ALLOWED/NOT ALLOWED].

Principal’s signature: __________________
Full name and title: [DETAILS]

The form, method of certification and availability of an electronic power of attorney must be verified for the specific applicant and procedure before signing.