Authorization Letter Template

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Authorisation Letter
Date:
City University of Hong Kong
Dear Sir/Madam,
I,
/
/
(full name)
(CityU student number)
(programme code)
hereby authorise
/
(name of the person)
(HKID or Passport no.)
to apply/collect on my behalf the *award certificate/_________________ academic transcript(s)/
(no. of copies)
________________________ testimonial(s)/ _______________________ certification letter(s)/
(no. of copies)
(no. of copies)
others: ______________________________________.
A photocopy of my *Student ID Card/HKID Card/Passport is attached for your verification and
it will be returned to my representative after inspection.
My representative understands that * he/she will be required to produce * his/her HKID card or
passport for identification and record purposes when applying/collecting the said document(s) on
my behalf.
I also confirm that my representative shall have the authority to sign for acknowledgement of the
receipt of the said document(s). I understand that I shall be fully responsible for the undelivery,
if any, of the said document(s) by my representative.
Yours faithfully,
____________________________________
(Signature)
* Please delete where inappropriate
(03/2014)

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