授权委托书(中英文)

授權委託書(行政審批事項)委託人：工作單位：職務：聯繫電話：被委託人：工作單位：職務：聯繫電話：茲委託京士頓商業顧問有限公司為本公司之合法代理人，全權代表本公司在政府___________________局辦理_______________申請過程以下一切授權範圍事宜。授權範圍：□1、接受行政機關依法告知的權利。□2、代為提交申請材料、更正、補正、補充材料的權利。□3、代理申請人_______基金審查中的陳述和申辯的權利。□4、處理批件的權利。□5、其有權與申請單位協調並溝通。□6、其他權利。委託期限自年月日至年月日。受托人(同意/不同意)在其權限範圍內所作之一切合法行為及簽署之一切有關文件，本公司均予以承認。*(委託人單位公章)被委託人：年月日年月日注：已授權的請在□中打“√”，未授權的請在□中打“×”。《授權委託書》填表說明1、申請單位到市食品藥品監督局辦理行政許可事項時，申請人不是法定代表人或負責人時，須由法定代表人或負責人開具《授權委託書》給申請人，列明授權範圍和委託期限。申請人憑《授權委託書》到______________局受理大廳辦理相關事宜。2、“委託人”，填寫法定代表人或負責人姓名。“被委託人”，填寫具體辦事人員姓名。“工作單位”、“職務”、“聯繫電話”，據實填寫。3、“茲委託京士頓商業顧問有限公司在①局辦理②申請過程以下一切授權範圍事宜。”②：填寫被委託人姓名。②：根據申辦事宜內容填寫對應的局/單位名稱，如“BUD專項基金（機構支援計劃）秘書處、工貿署”等。③：填寫具體辦事內容，如“發展品牌、升級轉型及拓展內銷市場的專項基金(BUD)、中小企業市場推廣基金(EMF)”等。4、“授權範圍”，根據具體授權情況，已授權的在“□”中打“√”，未授權的在“□”中打“×”。“處理批件的權利”，在橫線上填寫需領取的證件、批件或有關材料名稱，如“《基金申請計劃書、審計核數報告》正本、副本”。5、(委託人單位公章)：“加蓋委託人所在單位的公章”被委託人：“由具體辦事人員簽字”6、在辦理政府基金申請事項時，如委託人為二人以上的，須分別列明委託人有關情況，並在對應位置，分別簽字、加蓋公章。Authorization（Administrativelicenseitems）Consignor：Workunit：Duty：Phonenumber：Consignee:Workunit：Duty：Phonenumber：ItisherebyentrustingKingstonBusinessConsultancyCo.,Ltd.asthelegalrepresentativeofthecompanyandpursuingthe_________________(fund)affairsinthe___________________departmentsolelybythecompanytomanageandhandlethelistedscopeofauthorizedmatter.Scopeofauthority:□1.Beentitledtoaccepttheexecutivenotificationpursuanttolaw.□2.Beentitledtosubmit、correct、redress、reinforceapplicationmaterialsonconsignor’sbehalf.□3.Beentitledtostateanddefendintheadministrative______fundcensoringonconsignor’sbehalf.□4.Beentitledtohandleandmanageauthorizeddocument(s)like_______________________.□5.Beentitledtoco-ordinatewiththeapplicationunit.□6.Anyotherentitlement(s)________________________________.Thecompany(Agree/Disagree)thatthetrusteeagreestoperformalllegalactivitiesandallrelevantdocumentssignedwithinitsjurisdiction.Termofconsignation:ConsignorAuthorizedSignature&CompanySealConsignee:AuthorizedSignature&CompanySealDateDateAnnotation:mark“√”inthe□beforetheconsignedauthority,otherwise,mark“×”.Authorization（Administrativelicenseitems）Consignor：XxLiWorkunit：Co.xxDuty：GeneralmanagerPhonenumber：Consignee:XxLuoWorkunit：Co.xxDuty：BusinesspersonnelPhonenumber：ItisherebyentrustingKingstonBusinessConsultancyCo.,Ltd.asthelegalrepresentativeofthecompanyandpursuingthe___________(fund)affairsinthe___________departmentsolelybythecompanytomanageandhandlethelistedscopeofauthorizedmatter.Scopeofauthority:□1、Beentitledtoaccepttheexecutivenotificationpursuanttolaw.□2、Beentitledtosubmit、correct、redress、reinforceapplicationmaterialsonconsignor’sbehalf.□3、Beentitledtostateanddefendintheadministrative______fundcensoringonconsignor’sbehalf.□4、Beentitledtohandleandmanageauthorizeddocument(s)likeapplicationform,promotionplan,auditreport.□5、Beentitledtoco-ordinatewiththeapplicationunit.□6、Anyotherentitlement(s).Termofconsignation:2020March,2018–22February,2019Thecompany(Agree/Disagree)thatthetrusteeagreestoperformalllegalactivitiesandallrelevantdocumentssignedwithinitsjurisdiction.Termofconsignation:ConsignorAuthorizedSignature&CompanySealConsignee:AuthorizedSignature&CompanySealDateDateAnnotation:mark“√”inthe□beforetheconsignedauthority,otherwise,mark“×”.InstructiontofillintheAuthorization1、Iftheapplicant/transactorisn’tthelegalrepresentativeorisn’ttheprincipal,he/shemusthavetheAuthorizationconsignedbythelegalrepresentative/theprincipalqualifyingtheconsignee’sauthority,toapply,monitorandadministratetheHongKongGovernmentFund.TheapplicanttransactsrelevantmattersintheAcceptingHallofBDA,withtheAuthorization,ifnecessary.2、Fillinthenameofthelegalrepresentativeortheprincipalinthe“consignor”item;Fillinthenameofthetransactorinthe“consignee”item.Fillinthefollowingitemsbytheveryfact.3、Atpresentconsign______①______totransact____②_mattersconcernedatthe③___department(substation),BeijingFoodandDrugAdministration(BDA).①:thenameoftheconsignee.②:concretematterstobehandled,suchas“drugsupplylicense”.③:thecorrespondingresponsibledepartment,suchas“AcceptanceDepartment”、“DrugRegistrationDepartment”、“DrugSafetyandInspectionDepartment”、“MedicalDevicesDepartment”etc.4、“Scopeofauthority”,accordingtoexactauthorizedsituation,mark“√”inthe“□”beforeauthorizeditemsandmark“×”ifunauthorized.“Beentitledtosign&acceptauthorizeddocument(s)like______”,fillinthenameofthecertificate(s)、authorizeddocument(s)and/orrelevantmaterial(s)abovetheunderline,suchas“original、duplicateoftheDrugManufacturingCertificate”.5、(theofficialsealofconsignor’sworkunit):“toaffixtheofficialsealofconsignor’sworkunit”Consignee:“signedbythepersonnelwhohandaffairspractically(contractor)”6、Whilehandlingdrugregistrationitems,iftheconsignersoutnumber2,theymustlisttheirindividualinformationrespectivelyandsignandaffixtheirofficialsealswhereneeded.