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POWER OF ATTORNEY-GERMANY VISA APPLICATION I hereby authorize following person to act as a representative on my behalf to: • to sign consent/declarations relating to the visa application • to collect travel document (passport) from the Visa Application Centre.Representative: Surname: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ First Name: ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Proof of Identify: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Document Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Travel document and/or Internal Russian Passport) Telephone/Mobile: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Information about yourself (the person granting the power of attorney): Visa Applicant: Surname: First Name: NGUYEN THI UT CONTESTProof of Identify: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Document Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Travel document and/or Internal Russian Passport) Place and date Signature: Ha Noi, 17.11.2015 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Enclose a copy of the "Proof of Identify" belonging to the person issued the power of attorney (Travel document and/or Internal Russian Passport)
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