Power of Attorney



I, the undersigned ……....................................................…………………

born ………………..……………………...................................................

permanent residence …………………………............................................


                                         hereby authorise


Mr. (Mrs.) …………......................................................…………………

born ………………..……………………..................................................

permanent residence …………………………..........................................


to take over a sealed envelope containing a password and other information required for
establishing the Principal’s personal access to the Information System of Masaryk University. The
Agent is not entitled to open the aforesaid envelope and is obliged to deliver it to the hands of
the Principal.


Place ………….....……… date ………………



       ……………………………


                       Principal



I accept the Power of Attorney



Place ………….....……… date ………………



       …………………………


                       Agent