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1. Representative Information: Detailed information about the authorized representative, including full name, address, professional credentials (if applicable), and contact information
2. Appointor Information: Complete details of the person/entity appointing the representative, including full name, address, and any relevant identification numbers
3. Scope of Authority: Clear description of the powers being granted and specific matters for which the representative is authorized to act
4. Duration of Authority: Specification of the time period for which the authorization is valid, including start date and end date or conditions for termination
5. Declaration and Consent: Statement of understanding and agreement to the terms of authorization, including privacy consent and information sharing permissions
6. Signature Block: Space for signatures of the appointor, representative, and witnesses (if required), including date of signing
1. Multiple Representatives Authorization: Section to authorize multiple representatives and specify their respective roles when more than one representative is being appointed
2. Specific Powers: Detailed list of specific powers being granted, used when authorization is for complex matters requiring explicit enumeration of powers
3. Revocation of Previous Authorizations: Section to explicitly revoke any previous authorizations, used when replacing existing representatives
4. Emergency Powers: Special provisions for emergency situations where the representative may need to act without prior consultation
5. Confidentiality Agreement: Additional confidentiality provisions when sensitive information will be handled by the representative
6. Professional Credentials Verification: Section for verifying professional credentials, required when appointing licensed professionals as representatives
1. Schedule A - Detailed Powers and Authorities: Comprehensive list of specific powers and authorities granted to the representative
2. Schedule B - Identification Documents: Copies or details of identification documents for both appointor and representative
3. Schedule C - Multiple Representatives Details: List of multiple representatives and their respective roles, if applicable
4. Appendix 1 - Terms and Conditions: Standard terms and conditions governing the representative relationship
5. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how personal information will be handled
Authorized Representative
Authorization Period
Confidential Information
Effective Date
Emergency Situation
Governing Law
Jurisdiction
Personal Information
Powers
Professional Services
Receiving Institution
Regulatory Body
Representation Matters
Revocation
Scope of Authority
Termination Date
Third Party
Witness
Authority Scope
Duration
Privacy and Confidentiality
Information Sharing
Revocation
Liability
Indemnification
Termination
Professional Credentials
Emergency Powers
Notice Requirements
Governing Law
Multiple Representatives
Witness Requirements
Consent
Declaration
Effective Date
Records Access
Regulatory Compliance
Legal Services
Immigration
Financial Services
Healthcare
Real Estate
Tax and Accounting
Corporate Services
Government Relations
Education
Insurance
Legal
Compliance
Human Resources
Finance
Operations
Risk Management
Administrative Services
Corporate Governance
Government Relations
Privacy and Data Protection
Legal Counsel
Immigration Consultant
Tax Advisor
Corporate Secretary
Compliance Officer
Human Resources Manager
Financial Advisor
Estate Planner
Business Administrator
Government Relations Officer
Operations Manager
Risk Manager
Privacy Officer
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