我/我们_____________________________，是_______国的公民/法人，根据《中华人民共和国知识产权海关保护条例》，兹委托____________________________________________________（地址：________________________________________________________）代理__________________________（授权号：__________）的知识产权海关保护事宜。
Pursuanttorelevantprovisionsof“RegulationsofthePeople‘sRepublicofChinaGoverningCustomsProtectionofIntellectualPropertyRights”，I/We，_________________________________，citizen/legalentityof_____________，herebyauthorize_____________________________（Address：___________________________________）torepresentme/usinCustomsrecordationandprotectionmattersonintellectualpropertyformy/ourIPR_____________________________________underregistrationcertificateNo._________.
委托单位名称或委托人姓名：
Authorizedby（PrintorTypeName）：_____________________________
委托单位印章或委托人签字：
SealorSignature：_____________________________
委托日期：
DateofAuthorization：_____________________________