Fillable Printable Authorization Letter Sample

Authorization Letter Sample

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)