PERMOHONAN PENDAFTARAN HAK CIPTA | COPYRIGHT APPLICATION |
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I/We undersigned : .........................................................................................................…. Acting to this present as : ..........................................................................................................… Of and therefore on behalf of : .............................................................................................................. A corporation organized under the laws of : .............................................................................................................. Residing/having principal office at : ..............................................................................................................
In this case electing legal domicile at the office of proxies mentioned below :
HERI HERJANDONO, SH. (100-2006) A & J - Intellectual Property Rights SPECIFICALLY (KHUSUS) Either jointly or severally to act on my/our behalf with full power of substitution in all copyright proceeding at The Copyright Registry in Indonesia, to take every necessary action in respect of : ( ) Filing application for registration of copyrights of : ( ) Recordal of assignment/change of name/address or abandonment of Copyrights application of : ( ) Withdrawal or rectification of Copyright application of : Date :
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