Sample - Letter of Authorization


Date: __________________

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TO WHOM IT MAY CONCERN:

I, _______________________________, (Social Security No.____________

 and / or Student ID No. ________________ ) hereby waive my rights under

 the Rights of Privacy Act and authorize the release of all information

 relevant to my academic record at ______________________________ to

Taipei Economic & Cultural Office in Los Angeles at 3731 Wilshire Blvd.,

 Suite 700,  Los Angeles, CA 90010

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Sincerely Yours,

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________________

(Signature)


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