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1. Identification of Parties: Details of the principal (the person/entity granting authority) and the representative (the person/entity being authorized to act)
2. Scope of Authority: Clear and specific description of the powers being granted to the representative
3. Duration: Period for which the authorization is valid, including start date and end date if applicable
4. Powers and Limitations: Detailed list of specific actions the representative is authorized to take and any limitations on their authority
5. Obligations of the Representative: Duties and responsibilities of the authorized representative, including reporting requirements
6. Revocation Clause: Terms under which the authorization can be revoked and the process for revocation
7. Governing Law: Confirmation that the agreement is governed by Belgian law
8. Signatures and Date: Formal execution section including spaces for signatures, dates, and any required witness or notarization
1. Substitute Representative: Section authorizing the representative to delegate powers to a substitute, used when such flexibility is needed
2. Compensation: Details of any payment or compensation for the representative, included when the representation is not gratuitous
3. Specific Transaction Details: Used when the authorization is for specific transactions or deals rather than general representation
4. Compliance Requirements: Special compliance obligations, included when the representation involves regulated activities
5. Language Declaration: Required when the form needs to be valid in multiple Belgian linguistic regions
6. Digital Authentication: Section addressing electronic signature and verification, included when electronic execution is anticipated
1. Schedule 1 - Detailed Powers: Comprehensive list of specific powers and authorities granted to the representative
2. Schedule 2 - Required Documentation: List of documents and credentials that must be maintained or presented by the representative
3. Appendix A - Identity Documents: Copies of identification documents for both principal and representative
4. Appendix B - Corporate Reֱ: If principal is a company, the corporate reֱ authorizing the arrangement
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