I (本人), ______________________________________Name (姓名),
Passport/Identity Card (护照/身份证号码) ______________________,
hereby authorised (兹委托) (姓名)____________________________,
holder of Passport/Identity Card (护照/身份证号码) ________________,
Contact Number (联系电话)_________________________________
My (我的) _____________________(eg father, mother, business partner, friend) (如父亲, 母亲, 商业伙伴, 朋友)
to □ submit or □ collect* my passport with its visa on my behalf (代表我 □ 递交 或 □ 领取* 我的护照与签证申请).
______________________________ ______________ Signature of Applicant(申请人签名) Date(日期)
Please tick. 请打勾。
Note: Even if the same person is authorised to submit and collect the application, a separate form has to be completed.