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DECLARAÇÃO/AUTORIZAÇÃO

 

O abaixo-assinado

______________________________

______________________________

______________________________

Inventor de

______________________________

______________________________

______________________________

Conforme pedido apresentado sob o número

______________________________

______________________________

______________________________

para que ainda não obteve patente do Governo do Brasil, declara pela presente que dá seu pleno consentimento para que o Instituto Nacional da Propriedade Industrial conceda a respectiva patente em nome de:

______________________________

______________________________

______________________________

 

DECLARATION/AUTHORIZATION

 

The undersigned

______________________________

______________________________

______________________________

Inventor of

______________________________

______________________________

______________________________

In accordance with application filed under number

______________________________

______________________________

______________________________

for which the patent has not yet been granted by the Brazilian Government, herewith fully agree that the National Institute of Industrial Property grant the respective patent in the name of:

______________________________

______________________________

______________________________

 

(place and date) ______________________________________________

(signature) ______________________________________________

NO LEGALIZATION - NENHUMA LEGALIZAÇÃO

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