代办委托书填写样本
Authorization Letter 委托书
Date (日期):
不填
This is to certify that I ＺＨＡＮＧ ＳＡＮ agent/representative, whose signature is verified below, to collect the sealed envelope on my behalf. 本人 张三 将委托旅行社/代理人代为领取本人护照
1)If please fill the following details 若旅行社代理人代领护照,请填写下列信息
●Name of the Agency(旅行社姓名):
●Staff Name who will collect the sealed envelope(旅行社代领人姓名):
●Contact Details of the Agency(旅行社代领人联系电话):
●Signature of the agent authorized to collect (旅行社代领人签名):
2)If 若个人委托代领护照,请填写下列信息
ＥＸＨＩＢＩＴＩＯＮ ＣＨＩＮＥＳＥ ＯＲＧＡＮＩＺＥＲ 展会中国组织方 ●Relationship with the Applicant (委托人与代领人身份关系):
●ID Number of the Person (代领人身份证号码):
●Contact Details of the representative(代领人联系电话):
●Signature of the representative authorized to collect (代领人签名): ●Name of the Person (代领人姓名):
Please note that representatives/agents are required to bring in originals proof of their identities for verification purpose, failing which the sealed envelopes will NOT be handed over.
请注意所有旅行社代领人/个人委托代领人携带所有身份证明原件及复印件,如不提交,恕不发还护照.
手写中文汉字签名
VAC Reference Number (VAC 序列号): Applicant Signature (申请人签名):