University Authorization 
Prepared By: Haris Pylarinos 
Version: 1.1 

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DECLARATION OF AUTHORIZATION 

Name  ____________________________ 

Occupation  ____________________________ 

E-Mail  ____________________________ 

Entity  ____________________________ 

Entity Address  ____________________________ 

  ____________________________ 

HTB User (To act as  ____________________________ 

University Admin) 

I DECLARE THAT 

I represent the above mentioned Entity and I warrant that I am duly authorized to create a 
mini-page of the Entity within Hack the Box website using the Entity’s logo, undertaking the 
overall management of that mini-page, such as registering or withdrawing members/students, 
always in accordance with the terms and conditions of the website. 

I declare that I will notify immediately Hack the Box for any change on the authorization status. 

 
APPROVAL SIGNATURE 
(Full Name & Signature) 
 

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