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授权委托书(仲裁用)
2013-10-18 查看次数:

        委托单位:______________________
  法定代表人:_____________职务:____________电话:________________
  受委托人:1、姓名:______________性别:______________职务:_____________
  工作单位:_______________________电话:________________________
  2、姓名:_____________性别:______________职务:__________________
  工作单位:_______________电话:___________________
  现委托上列受委托人在我单位与___________关于____________纠纷一案中,作为我方仲裁代理人。
  代理人____________的代理权限为:
  代理人____________的代理权限为:
委托单位:___________(盖章)
法定代表人:_________(签名或盖章)
年 月 日
  注:代理权限应明确、具体。代理人代为承认、放弃或变更仲裁请求、进行和解,提出反请求,必须有被代理人特别授权。

 
 

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