Dear Sir,

I, the undersigned, state UNDER PENALTY OF PERJURY that:

  • I am the owner ("IPR owner") of certain intellectual property rights ("IPR") or the authorized agent of the IPR owner.
  • I have a good faith belief that the listings identified below offer items or certain materials that are not authorized by the IPR owner,its agent,or the law, and therefore infringe the IPR owner's rights.
  • The Information in this notice is accurate.
You are requested to remove the following listings on your web site:

Where the Infringing Product or material is located in your website:

The IPR relates to the following(check all boxes that apply):


Description of IPR:

Brief description of the trademark or copyright or patent, as applicable:

Registration Number and year of registration of IPR, if any(Please attach the relevant certificate if any):

(Please upload only .jpeg, .jpg, .doc, docx, .pdf)

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