NOTE! The one that picks up the documents has to ID himself at the Student
Desk, bring along this signed and filled out form and a copy of your ID/Passport.
AUTHORIZATIONFORM
to pick up documents at the Student Desk A 301
I hereby grant
(name + initials)
___________________________________________________________
Born on (date of birth)
_____________
in (place of birth)
__________________
to pick up my
Diploma / Gradelist(s) / Statement(s)*
(* = please cross the non-appropriate)
I hereby enclose a copy of my passport/ID
(your name + initials )
___________________________________________________________
(Date of birth)
(Place of Birth)
Date:________________
__________________
_______________________
Place: ______________________
Signature:
____________________________
June 2012