Fax Fax

Apply for date Date Of Application

Year Y Lunar M Day D

Firm stamp / accredit person signs

Seal Of

Company/Signature Of

Authorized Person

Note: If agent is bought, still need a power of attorney that adds an applicant. Note: In The Case Of Agent Purchasing, power Of Attorney Of The Applicant Is Needed.

The means that make: O pressworks, O mould pressing, O is other

The mark uses the position: The box of O product noumenon, O that pack, O is other

Accessory: な last designs a graph from 〖 ? (nameplate)

Presswork/Mould pressing indicates requisition devises plan
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