ANNEXURE - Format for notice in respect of goods infringing intellectual property rights under Intellectual Property Rights(Imported Goods) Enforcement Rules , 2007 - Intellectual Property Rights (Imported Goods) Enforcement Rules, 2007

ANNEXURE (see sub-rule(2) of rule 3) Format for notice in respect of goods infringing intellectual property rights under Intellectual Property Rights(Imported Goods) Enforcement Rules , 2007 1 Name of the Applicant: 2 Contact Details of the applicant: (A) Office address: (B) Residence address (C) E-mail address (D) IEC No 3 Applicant's Telephone numbers( including mobile number) 4 Name and contact details of authorized representative of the right holder. (please attach authorization from the right holder) 5 Proof of the existence and ownership of a valid intellectual property right by the right holder 6 A statement of the grounds for the notice of suspension of release of the goods allegedly infringing intellectual property rights 7 In the case of a specific consignment of goods allegedly infringing intellectual property rights, details of the consignment and a statement of the ground for the notice including prima facie evidence of infringement 8 Detailed description of the goods with Customs Tariff Heading in respect of which an intellectual property right applies, together with a sample, model or photograph of a genuine product 9. Name of customs airport/ customs port/land customs station to be covered I/We declare that the particulars furnished above are true to the best of my/our knowledge and the documents enclosed herewith are genuine. Signature of the right holder or his authorized representative Office Seal Place: Date: [F.No305/96/2004-FTT(part-I)] (S.P.RAO ) Under Secretary to the Government of India