ACCOUNT_FIRST_NAME ACCOUNT_LAST_NAME

ACCOUNT_ADDRESS_MULTI_LINE

23 November 2024

[Name]

[Address]

Re: Authorization Letter

By this letter, I hereby authorise FULL_NAME residing at [Address] (the "Authorized Representative") to collect the following certificate(s) on my behalf:

NAME_DOCUMENT

I'm unable to collect the said document due to my [illness / travel].

Any action other than the ones listed above will require further authorization from me. I'm also attaching copy of the identification of the Authorized Representative for your records.

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