I, _______________, born on July _____, 1987, (passport of a citizen of Ukraine for traveling abroad _________, issued on October _______, 2019, by authority_____, valid until October _________, 2029),place of residence is registered at: Ukraine, ___________ region, city_____________, with this power of attorney, the residence of the authorized representative, ____________, born on October__________ 1974, (passport of a citizen of Ukraine for traveling abroad _, issued in _, by _, valid until ___), place of registration at the address: Ukraine, ________region,_________, to represent interests in front of third parties in state, public and other enterprises, authorities, organizations and institutions, independent of their subordination, forms of ownership and sectoral ownership with all necessary powers, in local self-government authorities, in particular, but do not use, in front of the Visa center of Canada in Germany, government authorities, the Ukrainian Ministry of Foreign Affairs, archives, etc., when resolving any issues related to obtaining my passport of a citizen of Ukraine for traveling abroad. With the granting of this power of attorney, on my behalf and in my interests, the representative: - submit any statements, any documents and petitions (both letters and oral) that relate to the implementation of the power of attorney, and justify the requests and wishes set forth in them; - to sign any documents related to the powers granted by the power of attorney; - to submit and receive mandatory certificates, documents, etc. (in particular, to submit documents, mandatory for obtaining a visa, to receive an issued visa, passport and/or other documents provided for by the Legislation of the Federal Republic of Germany, Canada and Ukraine), legalize documents that are or will be necessary; - maintain proper calculations or make mandatory payments, pay state duties and other fees; - to provide evidence and measurements on all issues that may arise in the course of the exercise of powers under the power of attorney agreement and the power of attorney issued in accordance with this power of attorney; - perform other actions for this type of authority, and which will be necessary for correct and complete execution.
The power of attorney is issued for a period of ONE YEAR and remains valid until __ OCTOBER TWO THOUSAND TWENTY-THREE inclusively.
По такій довіреності був мій паспорт забраний в м. Дюсельдорф (Німеччина)