DATE

LETTER OF AUTHORIZATION

To whom it may concern,

I, the undersigned, hereby grant my wife, NAME (ID NUMBER) permission to act as my
representative in claiming KIND OF ID (APPLICATION NUMBER) on
AGENCY/OFFICE.

Any and all acts carried out by NAME on my behalf shall have the same effect as acts
of my own.

I have also attached a copy of my KIND OF ID, for your reference.

Thank you so much.

Sincerely,

NAME