FULDMAGT/POWER OF ATTORNEY

Undertegnede / I the undersigned

Ansøgers navn / Applicant’s name Ansøgers fødselsdato / Applicant’s date of

birth

ansøgers adresse / Applicant’s address

Evt. ansøgers personID eller CPR-nr. / The applicant’s personal ID or CPR no., if applicable.

giver hermed / hereby grant

Fuldmagtshavers navn / Name of holder of Evt. firma / Company, if relevant

power of attorney Styrelsen for International
Rekruttering og Integration

Fuldmagtshavers adresse / Address of holder of power of attorney The Danish Agency for Internation-
al Recruitment and Integration

Fuldmagtshavers CPR-nr. eller CVR-nr. / CVR no. or CPR no. of the holder of power of attor- Carl Jacobsens Vej 39
ney DK-2500 Valby

T: +45 72 14 20 00

fuldmagt til at repræsentere mig som partsrepræsentant under behandling af min sag hos www.nyidanmark.dk
Styrelsen for International Rekruttering og Integration / power of attorney to represent me
during the processing of my case by the Danish Agency for International Recruitment and
Integration.
Det betyder, at fuldmagtshaveren blandt andet får ret til / This means that the holder of
the power of attorney among other things has the right to,
 at indgive ansøgning om opholdstilladelse på mine vegne / submit an application for a
residence permit on my behalf,
 at få aktindsigt i min sag / receive right of access to the documents in my case,
 at afgive udtalelse til brug for behandling af min sag, og / submit statements for use
in the processing of the case, and
 at modtage fortrolige oplysninger om mine forhold, herunder mine private forhold/
receive confidential and personal information contained in the application and in my
case.
 at repræsentere mig under en inddragelses- eller kontrolsag / represent me during a
revocation process or a verification and spot check procedure.
Breve vil som udgangspunkt kun blive sendt til partsrepræsentanten / Letters will in gen-
eral only be sent to the holder of the power of attorney.
Fuldmagten falder bort, når Styrelsen for International Rekruttering og Integration har
afsluttet behandlingen af min sag. Jeg kan dog når som helst selv trække fuldmagten
tilbage ved at give besked til Styrelsen for International Rekruttering og Integration / The
power of attorney ends when the Danish Agency for International Recruitment and Inte-
gration has finalized the processing of my case. I am, however, at any time able to with-
draw the power of attorney by informing the Danish Agency for International Recruitment
and Integration.

Sted og dato / Place and date: Ansøgers underskrift / Applicant’s signature: