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.Book-Title{letter-spacing:0.25pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;font-weight:bold;font-variant:small-caps;} .TOC-Heading{page-break-inside:avoid;page-break-after:avoid;page-break-before:auto;line-height:1.15;margin-top:24.0pt;margin-bottom:0.0pt;margin-left:0.0pt;text-indent:0.0pt;border-top-style: none;border-left-style: none;border-right-style: none;border-bottom-style: none;color:#3B608D;font-size:14.0pt;font-family:Calibri;mso-fareast-font-family:'MS ゴシック';mso-bidi-font-family:'Times New Roman';lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;font-weight:bold;} </style></head><body style="pagewidth:612.0pt;pageheight:792.0pt;"><div class="Section0"><div style="min-height:72pt" /> <p class="Normal"><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><span style="font-size:16.0pt;font-family:黑体;mso-fareast-font-family:黑体;mso-bidi-font-family:黑体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><span style="font-size:16.0pt;font-family:黑体;mso-fareast-font-family:黑体;mso-bidi-font-family:黑体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">授权委托书</span><span style="font-size:16.0pt;font-family:黑体;mso-fareast-font-family:黑体;mso-bidi-font-family:黑体;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">(自然人使用)</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">北京仲裁委员会/北京国际仲裁中心:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">兹委托下列人员在我方与 因 纠纷引起的争议仲裁案中,作为我方仲裁活动代理人:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">(1)姓名:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">工作单位:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">职务:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">固定电话:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">手机:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">电子信箱:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">传真:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">联系地址:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">邮编:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">代理权限:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">(2)姓名:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">工作单位:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">职务:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">固定电话:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">手机:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">电子信箱:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">传真:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">联系地址:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">邮编:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">代理权限:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">(3)姓名:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">工作单位:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">职务:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">固定电话:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">手机:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">电子信箱:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">传真:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">联系地址:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">邮编:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">代理权限:</span><br/><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><br/><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">委托人:(签名)</span><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span></p> <p class="Normal"><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">年 月 日</span><br/><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">注:须列明委托事项和具体代理权限。除特别声明外,本会视授权委托书中所列代理人有代为领取各种仲裁文书的权限。代理人或代理权限发生变更,委托人应当书面告知本会。代理权限一栏请用正楷字填写,也可从以下列表中选择,将相应序号填写入该栏。</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">代理权限列表:</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">1、代为提出、承认、变更、撤回、放弃仲裁请求</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">2、代为进行答辩,提出、承认、变更、撤回、放弃仲裁反请求</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">3、代为约定仲裁庭组成方式、选定仲裁员</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">4、参加开庭审理、陈述事实及代理意见并参加调查、质证活动</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">5、接受调解、和解</span><br/><span style="font-size:11.0pt;font-family:'MS 明朝';mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;">6、其他(请注明)</span><span style="font-size:11.0pt;font-family:Cambria;mso-fareast-font-family:'MS 明朝';mso-bidi-font-family:Arial;lang:EN-US;mso-fareast-language:EN-US;mso-ansi-language:AR-SA;"> </span><a id="_GoBack" /></p> </div></body></html>
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