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Vordruck zur Vollmacht

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Vordruck zur Vollmacht

 

Hiermit bevollmächtige ich,

 

_______________________________          _____________________________

Vorname, Name                                              vollständige Anschrift

desjenigen, der bevollmächtigt                        desjenigen, der bevollmächtigt

 

 

_______________________________

Matrikel-/Bewerbernummer

 

Herrn/Frau

 

_______________________________          _______________________________

Vorname, Name                                              vollständige Anschrift

der bevollmächtigten Person                           der bevollmächtigten Person

 

 

in meinem Auftrag und mit meinem Einverständnis zu handeln hinsichtlich meiner Angelegenheiten bei der _______________________________.

 

 

Diese Vollmacht ist gültig für das WiSe/SoSe ________ .

 

______________________

Datum         Unterschrift

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