(Company name)

(Branch)

I, the undersigned, have a savings account in your bank on my name (Account No.). I want to collect my
monthly bank statement from the month of October to December 2020 but I am not in the physical
condition to come to the bank office. Therefore, I authorize my daughter to collect the same on my
behalf. I do not have any objection for my daughter signing the documents on my behalf in my absence.

Thank you for your understanding.

Sincerely,

(Your name)
(Account Number)