FORM-TM-10

Application For Inclusion of the Address for service Adhesive Stamp of Bangladesh
In Bangladesh, Change or Authorization of Agent
Or Lawyer or Revocation of Authorization of Agent or Lawyer. TK 500/100
Rules-6(4), 8(2) & 13(3)
Bangladesh
TRADEMARK POWER OF ATTORNEY Trade Marks Rules… 2015

1. Trade Mark Application No: …………………….

2. Class ………………………………………
3. Full name of the Applicant: Mohammad Arshad
Post of Applicant: Managing Director
Name of Company/Firm: Be Yourself Ventures Ltd
Address of Company/Firm: House: 12, Road: 104 (lake shore dr) Gulshan-2, Dhaka-1212
Nationality of Applicant: Bangladeshi
(In case of legal entity: The legal entity is established by the Company ACT 1994 & the name of country is Bangladesh)
Phone: 01713652539 Email: info@beyourselfventures.com
4. Name and address of the Agent(s) or Lawyer(s) authorized by the applicant-
Proprietor, registered proprietor, registered user or opponent is/are:
Md. Abdul Jalil Advocate
76/1, Lal Fakir Lane, Kalabagan, Dhaka-1205
Phone: 01753718223 Email: trademark@legalseba.com
5. (A) Authorization of Agent(s) or Lawyer(s)
I/we hereby authorized the Person(s) as mentioned in serial-4 to act as my (or our) agent in my/our favor regarding the
application for registration, renewal, amendment of trade mark or service mark & related with all activities in the registry. I
request to all the Registrar to send all letter to their address as mentioned above:

(B) Revocation of Authorization of Agent(s) or Lawyers(s):

I/we hereby revoked all previous authorizations(if any) in respect of the same matter or proceeding. His/their name(s) and
address are …………….
6. In case of change of address for service:-
Previous Address……………………………….
Amended Address……………..

……………………….
Signature of
Applicant: Managing Director ……………………….
Be Yourself Ventures Ltd. Signature of
Date:
Phone:
Agent/Advocate
Date:
To Name: Md. Abdul Jalil (Advocate)
The Registrar, Address: 76/1, Lal Fakir Lane, Kalabagan
Department of Patent Designs & Trademark Dhaka 1205
Ministry of Industry, Shilpa Bhaban, Mobile: 01753718223
Dhaka-1000, Bangladesh
Email: trademark@legalseba.com
Website: legalseba.com

In foreign case, this power of attorney should be notarized/attested by

the officer of Embassy of Bangladesh