MEGHATALMAZÁS

Név ............................................................................................................................
Születési hely, idő .....................................................................................................
Anyja leánykori neve ................................................................................................
Személyi igazolvány száma ......................................................................................
Lakcím …………………… …………………………………………..… szám alatti lakos

mint a ………………………………………………………………………. képviselője

meghatalmazom

Név ............................................................................................................................
Születési hely, idő .....................................................................................................
Anyja leánykori neve ................................................................................................
Személyi igazolvány száma ......................................................................................
Lakcím …………………… …………………………………………..… szám alatti lakost

mint a ………………………………………………………………………. Képviselőjét,

hogy engem a(z).........................................................................................................

.............................................................ügyben képviseljen, helyettem és nevemben eljárjon.

Ez a meghatalmazás ……………………………-ig érvényes.

Kelt: ………………………………………..

……………………………………… ………………………………………
Meghatalmazó Meghatalmazott

Előttünk, mint tanúk előtt:

Név: ………………………………………… Név: ………………………………….......
Lakcím: …………………………………….. Lakcím: …………………………………..
 POWER OF ATTORNEY

Name .........................................................................................................................
Place & Date of birth .................................................................................................
Mother’s maiden name ..............................................................................................
Identity card no..........................................................................................................
Address.......................................................................................................................

as the representative of...............................................................................................

hereby authorise

Name .........................................................................................................................
Place & Date of birth .................................................................................................
Mother’s maiden name ..............................................................................................
Identity card no..........................................................................................................
Address.......................................................................................................................

as the representative of ..............................................................................................

to represent me in the matter of .................................................................................

....................................................................................................................................

This power of attorney is valid until……………………….

Date: ………………………………………..

……………………………………… ………………………………………
Principal Agent

Witnesses
Name: ………………………………………… Name: ………………………………....
Address: …………………………………….. Address: ……………………………….