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Letter of Authorisation

If you are the credit cardholder and are unable to collect the tickets purchased using
your credit card, you may appoint someone else to collect on your behalf. Please fill
in the details below and print a copy for your appointee.

I,

(Cardholder

Name)

_______________________________________________

(KTP / SIM / Passport No) _____________________________ hereby authorise

(Apointee

Name)

___________________________________________________

(KTP / SIM / Passport No) ________________________


purchased using my card.

The details of purchase are as follows:


Event Title
Event Date
Event Time
Ticket Price
Number of Ticket(s)
Seat Number

:
:
:
:
:
:

____________________________
____________________________
____________________________
____________________________
____________________________
____________________________

____________________
(Cardholders Signature)

to pick up the ticket(s)

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