Date ___________________
Dear Sirs
Please accept this letter as written authorization, as may be required
by article 28 of the Hague convention on the Civil Aspects of
International Child Abduction and Article 13 (I) (a) of the European
Convention on Recognition and Enforcement of Decisions concerning Custody
of children and on the Restoration of Custody of Children, empowering the
Central Authority for ____________________________ or their designated
representative, to act on my behalf.
Your faithfully
signature __________________________________
name of applicant ____________________________
(Block capitals)
