委托书

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户口迁移授权委托书

兹有学院级专业班的

学生，身份证号码为。

现因本人无法亲自办理户口迁移手续，故特委托，

身份证号码为，代为办理户口迁出相关

手续。

备注：本委托书签名生效。

委托人签名：被委托人签名：

委托人电话：被委托人电话：

委托日期：办理日期：

附件：被委托人身份证复印件一份

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