授權(quán)委托書(中英文).doc

授權(quán)委托書(行政審批事項(xiàng))委托人：工作單位： 職 務(wù)：聯(lián)系電話：被委托人：工作單位： 職 務(wù)：聯(lián)系電話：茲委托 在北京市食品藥品監(jiān)督管理局 處（分局）辦理 事宜。授權(quán)范圍：1、接受行政機(jī)關(guān)依法告知的權(quán)利。2、代為提交申請(qǐng)材料、更正、補(bǔ)正、補(bǔ)充材料的權(quán)利。3、代理申請(qǐng)人行政許可審查中的陳述和申辯的權(quán)利。4、簽收 批件的權(quán)利。5、其他權(quán)利 。委托期限自 年 月 日至 年 月 日。 (委托人單位公章) 被委托人：年 月 日 年 月 日注：已授權(quán)的請(qǐng)?jiān)谥写颉啊?，未授?quán)的請(qǐng)?jiān)谥写颉啊薄Ｊ跈?quán)委托書填表說(shuō)明1、申請(qǐng)單位到市食品藥品監(jiān)督局辦理行政許可事項(xiàng)時(shí)，申請(qǐng)人不是法定代表人或負(fù)責(zé)人時(shí)，須由法定代表人或負(fù)責(zé)人開具授權(quán)委托書給申請(qǐng)人，列明授權(quán)范圍和委托期限。申請(qǐng)人憑授權(quán)委托書到市食品藥品監(jiān)督局受理大廳辦理相關(guān)事宜。2、“委托人”，填寫法定代表人或負(fù)責(zé)人姓名?！氨晃腥恕保顚懢唧w辦事人員姓名。“工作單位”、“職務(wù)”、“聯(lián)系電話”，據(jù)實(shí)填寫。3、“茲委托 在北京市食品藥品監(jiān)督管理局 處（分局）辦理 事宜?！保禾顚懕晃腥诵彰?。：根據(jù)申辦事宜內(nèi)容填寫對(duì)應(yīng)的主管處室名稱，如“受理辦”、“藥品注冊(cè)處”、“安全監(jiān)管處”、“醫(yī)療器械處”等。：填寫具體辦事內(nèi)容，如“藥品經(jīng)營(yíng)許可”。4、“授權(quán)范圍”，根據(jù)具體授權(quán)情況，已授權(quán)的在“”中打“”，未授權(quán)的在“”中打“”。“簽收 批件的權(quán)利”，在橫線上填寫需領(lǐng)取的證件、批件或有關(guān)材料名稱，如“藥品生產(chǎn)許可證正本、副本”。5、(委托人單位公章)：“加蓋委托人所在單位的公章” 被委托人：“由具體辦事人員簽字”6、在辦理藥品注冊(cè)事項(xiàng)時(shí)，如委托人為二人以上的，須分別列明委托人有關(guān)情況，并在對(duì)應(yīng)位置，分別簽字、加蓋公章。示 范Authorization（Administrative license items）Consignor： Work unit： Duty： Phone number：Consignee: Work unit： Duty： Phone number： At present consign _ _ to transact _ _ _ _ _ _ _ _ _ _ _ _ _ matters concerned at the _ _ department (substation), Beijing Drug Administration (BDA).Scope of authority: 1、Be entitled to accept the executive notification pursuant to law.2、Be entitled to submit、 correct 、redress、 reinforce application materials on consignors behalf. 3、Be entitled to state and defend in the administrative license censoring on consignors behalf. 4、Be entitled to sign & accept authorized document(s) like _ _ _ _ _ _ _ _ _ _.5 、Any other entitlement(s) _ _ _ _ _.Term of consignation:Consignee:(the official seal of consignors work unit) Annotation: mark“” in the before the consigned authority, otherwise, mark “”.Authorization（Administrative license items）Consignor：Xx Li Work unit：Co. xx Duty：General manager Phone number： Consignee: Xx Luo Work unit：Co. xx Duty：Business personnel Phone number： At present consign _ xx Luo_ to transact altering legal representative of Medical Devices Distribution Enterprise License matters concerned at the Accepting department (substation), Beijing Food and Drug Administration (BDA).Scope of authority: 1、Be entitled to accept the executive notification pursuant to law.2、Be entitled to submit、 correct 、redress、 reinforce application materials on consignors behalf. 3、Be entitled to state and defend in the administrative license censoring on consignors behalf. 4、Be entitled to sign & accept authorized document(s) like: original and duplicate of Medical Devices Distribution Enterprise License.5、Any other entitlement(s) .Term of consignation: January 20,2005 - January 22 , 2005 Consignee: Xx Luo(the official seal of consignors work unit)January 20 , 2005 January 20 , 2005Annotation: mark“” in the before the consigned authority, otherwise, mark “”.Instruction to fill in the Authorization1、If the applicant/transactor isnt the legal representative or isnt the principal, he/she must have the Authorization consigned by the legal representative/the principal qualifying the consignees authority, to apply administrative licenses matters in Beijing Drug Administration(BDA) The applicant transacts relevant matters in the Accepting Hall of BDA, with the Authorization, if necessary.2、Fill in the name of the legal representative or the principal in the “consignor” item; Fill in the name of the transactor in the “consignee” item. Fill in the following items by the very fact.3、At present consign _ to transact _matters concerned at the _department( substation), Beijing Food and Drug Administration(BDA).: the name of the consignee.: concrete matters to be handled, such as “drug supply license”.: the corresponding responsible department, such as “Acceptance Department”、“Drug Registration Department”、“Drug Safety and Inspection Department”、“Medical Devices Department”etc. 4、“Scope of authority”, according to exact authorized situation, mark “” in the “” before authorized items and mark “” if unauthorized.“Be entitled to sign & accept authorized document(s) like _”, fill in the name of the certificate(s)、authorized document(s) and/or relevant material(s) above the underline, such as“original、duplicate of the Drug Manufacturing Certificate”. 5、(the official seal of consignors work unit): “to affix the official seal of consignors work unit”Consignee:“signed by the personnel who ha