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1. Principal Details: Full legal name, address, and contact information of the person granting authorization
2. Authorized Party Details: Full legal name, address, and contact information of the person/entity being authorized
3. Scope of Authorization: Clear and specific description of what actions/decisions the third party is authorized to take
4. Duration of Authority: Specific timeframe for which the authorization is valid, including start and end dates
5. Declaration of Capacity: Statement confirming the principal's legal capacity to grant this authorization
6. Execution: Signature blocks for all parties, including date and witness provisions
1. Revocation Terms: Specific conditions under which the authorization can be revoked before its expiration
2. Special Powers: Any specific or extraordinary powers being granted that need explicit mention
3. Data Protection Notice: GDPR-compliant privacy notice when sensitive personal data is involved
4. Emergency Provisions: Special provisions for emergency situations where immediate action might be required
5. Substitute Authorization: Provisions for appointing a substitute authorized party if needed
6. Governing Law: Explicit statement of Irish law as governing law, used when the form might be used across jurisdictions
1. Schedule 1 - Scope of Authorized Activities: Detailed list of specific activities, transactions, or decisions the third party is authorized to make
2. Schedule 2 - Identification Documents: Copies or details of identification documents provided by both parties
3. Schedule 3 - Witness Information: Details and declarations of witnesses, if required
4. Appendix A - Supporting Documentation: Any additional documentation supporting the authorization (e.g., medical certificates, company resolutions)
Authorized Party
Authorization Period
Effective Date
Termination Date
Authorized Acts
Confidential Information
Force Majeure
Personal Data
Revocation Notice
Scope of Authority
Special Powers
Substitute Attorney
Territory
Witness
Working Day
Writing
Electronic Signature
Valid ID
Capacity
Emergency
Notice
Governing Law
Authority
Business Hours
Scope of Authority
Duration
Revocation
Data Protection
Confidentiality
Indemnification
Liability
Governing Law
Execution Requirements
Witness Provisions
Notice Requirements
Emergency Powers
Capacity Declaration
Substitute Authorization
Privacy
Record Keeping
Reporting Obligations
Compliance
Force Majeure
Financial Services
Healthcare
Legal Services
Real Estate
Education
Insurance
Banking
Corporate Services
Government Services
Retail
Transportation
Telecommunications
Legal
Compliance
Risk Management
Human Resources
Operations
Administration
Customer Service
Corporate Governance
Privacy & Data Protection
Finance
Facilities Management
Document Control
Legal Counsel
Compliance Officer
Risk Manager
Human Resources Director
Operations Manager
Company Secretary
Financial Controller
Account Manager
Customer Service Manager
Administrative Officer
Property Manager
Healthcare Administrator
Corporate Governance Officer
Privacy Officer
Facilities Manager
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