Documente Academic
Documente Profesional
Documente Cultură
sunnaale-FAM-201409261434-1329337
Isabel Zamora
Grytavegen 6
6006 lesund
NOR
isabelferrer58@yahoo.com
Date/Place
Signature
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Date/Place
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Date/Place
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If you want to authorize someone else to act on your behalf in connection with your application, you must fill in the form
below and hand it in to the police/embassy/consulate. If you do not wish to grant anyone power of attorney in your case;
please DO NOT submit the form.
Postal code
Place / country
Telephone
Mobile phone
Yes
No
Date of birth
Signature
NB! If you are an employee and you have granted someone power of attorney to apply on your behalf; you need to state
here which embassy/consulate you want to pick up your entry visa:
Name of embassy/consulate
Country