I,_____________________________[YOUR FULL LEGAL NAME], residing at___________________________________________________________________________________[YOUR FULL ADDRESS], hereby appoint ____________________________of ______________________ ___ as my Attorney-in-Fact ("Agent").
我， [您的合法全名]，住所为______________________[您的.地址]，在此委托
[律师的服务机构及地址]的_____________________________（律师姓名）作为我的代理律师（“代理人”）。
I further appoint and empower the above-mentioned attorney to: Pursuant to the actual situation and
我授权上诉律师根据事实情况办理我的 。
We hereby confirm that this Power of Attorney shall remain in full force from the date of signature to , 20xx(M/D/Y).
委托期限自授权委托书签订之日起至20xx 年 月日。
IN WITNESS WHEREOF I cause this Power of Attorney to be duly signed.
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作为证据，本人于此正式签订本授权委托书。
Signature：
授权人签名：
Date:
签订日期： 20xx
October 20xx 年 月 日
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