宁波仲裁委员会

点击下载   授权委托书

                                                 授 权 委 托 书

委托人：

法定代表人（负责人）：                     职务：

受委托人：

           1、姓名：                    联系电话：

           住址：                               邮编：

           工作单位及职务：

2、姓名：                    联系电话：              

           住址：                               邮编：                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

     工作单位及职务：      

上列受委托人在我单位与__________________________________ 

__________________________________一案仲裁中，作为我方代理人。

代理人_____________的代理事项和权限为下列第_________种。

代理人_____________的代理事项和权限为下列第_________种。

一、特别授权代理：代为承认、放弃、反驳、变更仲裁请求；进行和解等。

    二、一般代理：调查、取证、出庭、提供证据、参与调解等。

委托人：                               （签名和盖章）

法定代表人（负责人）：                  （签名或盖章）

年    月   日

注：（1）授权委托书由委托人和法定代表人签名或盖章，非法人组织由委托人和负责人签名盖章，公民由本人签名盖章，并写明委托事项和权限后方有效。

   （2）代理权限发生变更或解除，委托人应当书面告知宁波仲裁委员会。

   （3）此委托书一式三份，一份由委托人存查，一份由代理人存查，一份递交宁波仲裁委员会。