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y authorized LEE Siu Ming, holder of HKI num!er X123456(7) to act on my !ehalf to "rocess UST note!oo# o$nershi" "rogram %&&' (erification and ) or "ic# u" the refund che*ue+ ,ours faithfully
Signature -ull name. CHA/ Tai Man Contact num!er. 01%2 3456 ate. ec 0, %&&'