SPAIN ESPAÑA AUTORIZACION-PODER English Translation (1) El que suscribe, (2) Con residencia en POWER OF ATTORNEY The undersigned ...................residing at..............,hereby appoint(s) ................., Official Industrial Property Agent, with powers to delegate or substitute, a full and sufficient power of attorney to conduct all kind of proceedings in his (or their) name, and in accordance with the legislation in force concerning Industrial Property in the matter of ......... and to this effect grant power to carry out necessary proceedings or to file corresponding Appeals before the Spanish Patent and Trade Marks Office. In testimony thereof, and to all legal effects, the present power of attorney is given and subscribed in ........ this ....... day of ............. 20..... (3) Confiere a Agente Oficial de la Propiedad Industrial, con facultad de delegación o sustitución, poder amplio y suficiente para que, en representación suya y de acuerdo con la legislación vigente sobre Propiedad Industrial, haga toda clase de diligencias para que (4) HOW TO FILL OUT y a tales efectos, realice las gestiones y ejercite las acciones o (1) Applicant’s name, either individual of company. Recursos que estime necesarios ante la Oficina Española de Patentes y Marcas. (2) City, country and/or state, country and post office address. Y, para que conste a los efectos legales, libra la presente autorización (3) Leave in blank or state name of the Spanish patent attorney. (5) (4) Leave in blank, or describe in Spanish the patent, utility model, trademark, etc., to be filed, the opposition or response to be filed, etc. (6) a en de (7) (5) City. Madrid, a (6) Date. ACEPTO ESTA AUTORIZACION (7) Signature. If applicant is a firm or corporation, the complete name thereof should be stated. An authorized partner (in the case of a firm) or an authorized officer (in the case of a corporation or association) will sign underneath stating his full name and position within the firm. Further, a rubber stamp or dry seal of the firm must be stamped. No legalization is required. El Agente Oficial de