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1. Date and Location: Current date and place where the letter is being written
2. Recipient Details: Full name and address of the Internet Service Provider
3. Subject Line: Clear indication that this is an Authorization Letter for Internet Service Disconnection
4. Account Information: Account number, service address, and current subscriber's details
5. Authorization Statement: Clear statement authorizing the named person to disconnect the internet service
6. Authorized Person Details: Complete information about the person being authorized including full name, ID details, and relationship to account holder
7. Specific Powers: Detailed list of actions the authorized person can take (e.g., submit disconnection request, settle final bills, return equipment)
8. Reason for Disconnection: Brief explanation of why the service is being discontinued
9. Account Holder's Declaration: Statement of the account holder confirming the authorization is given willingly and knowingly
10. Signature Block: Space for account holder's signature, printed name, and date
1. Effective Period: Specify if the authorization is only valid for a certain time period - use when the authorization should expire after a specific date
2. Special Instructions: Any specific instructions for handling final bills or equipment return - include when there are unique circumstances or requirements
3. Witness Section: Space for witness signatures - include when required by the ISP or for additional verification
4. Contact Information: Additional contact details for both parties - include when multiple contact methods are needed
1. Valid ID Attachments: Copies of valid government IDs of both the account holder and authorized person
2. Proof of Account Ownership: Recent bill or account statement showing the account holder's name and account details
3. Special Power of Attorney: If required by the ISP, a notarized Special Power of Attorney form
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