Annex6-AppendixAIPRLicensingDeclarationforms.docVIP

Annex 6 - Appendix A: IPR Licensing Declaration forms IPR Holder / ORGANISATION “Declarant” Legal Name: Contact details for licensing information: Name and Title: Department: Address: Telephone: Fax: Email: URL: General IPR licensing declaration In accordance with Clause 6.1 of the ETSI IPR Policy the Declarant and/or its AFFILIATES hereby informs ETSI that check one box only : with reference to ETSI STANDARD S or TECHNICAL SPECIFICATION S No.: , or with reference to ETSI Project s : , or with reference to all ETSI STANDARDS AND TECHNICAL SPECIFICATIONS and with re