FORM PB-3

Rule 3(5)
Government of Pakistan Plant Breeders’ Rights Registry

AUTHORIZATION FORM

I(or We)

Hereby authorization the person/persons with names and address given below to act in
my/our behalf for filing application for protection of plat variety ----------------- and
request that the in future all notices and formalities for processing the case for protection
of variety may be sent to them unless requested otherwise by me/us.

1. Name:
S/o/D/o:
CNIC:
Address:

2. Name:
S/o/D/o:
CNIC:
Address:

I/We further declare that all previous authorizations are hereby revoked which were made
in this connection.

Dated this: day of: 2020

Signature: ______________________

Name:

Designation:

Institutes/Organization:

To,
The Registrar,
Plant Breeders, Right Registry,
Islamabad.