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1. Header Information: Official letterhead, date, reference number, and addressing the appropriate authority
2. Subject Line: Clear indication that this is an Application for Letter of Authority
3. Applicant Details: Full legal name, ID number (KTP/Passport), address, and contact information of the person/entity requesting the authority
4. Authorized Representative Details: Full legal name, ID number (KTP/Passport), address, and contact information of the person/entity to be granted authority
5. Purpose of Authority: Clear statement of the specific powers and authorities being requested
6. Scope of Authority: Detailed description of actions the representative is authorized to perform
7. Duration: Specific timeframe for which the authority is requested
8. Declaration of Truth: Statement confirming all information provided is true and accurate
9. Signature Block: Space for applicant's signature, name, date, and any required witness signatures
1. Special Conditions: Include when there are specific limitations or conditions on the authority being granted
2. Revocation Clause: Include when specific terms for revoking the authority need to be stated
3. Foreign Language Text: Include when the letter needs to be bilingual for international use
4. Substitute Authority Clause: Include when the authorized representative needs power to delegate authority to others
5. Emergency Contact Information: Include when the authority relates to medical or emergency situations
1. Identity Documents: Copies of KTP/Passport and other identification documents of both parties
2. List of Authorized Actions: Detailed enumeration of specific actions authorized when the scope is complex
3. Supporting Documents: Any additional documents required to support the application (business licenses, certificates, etc.)
4. Proof of Relationship: Documents establishing the relationship between the applicant and representative when relevant
5. Translation Certificate: Official translation certificates if document is bilingual
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