To: PRC Main / [Branch Name]

I, , holder of PRC License No. _________ (Profession: _________ ), hereby authorize [Representative’s Full Name] to claim my [document name, e.g., PRC ID / Certificate of Passing] on my behalf.

Thank you.

Date: _______________

Representative’s Valid ID: No. _________

I am attaching a photocopy of my valid ID and my representative’s valid ID.