Power of Attorney

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

born
on................................................................................................
and

residing
at...........................................................................................


                                          hereby appoint


Mr /
Ms............................................................................................... ,

born
on................................................................................................
, and

residing
at........................................................................................... ,


as my agent (attorney-in-fact) to act for me in receiving and accepting a sealed envelope
containing a password and other information necessary for me to access the Masaryk University
Information System. The agent is not authorized to open the sealed envelope and is obliged to
present it to me personally at the earliest possible moment.

Signature: ..............................................................

Date: ......................................................................

Signed at: ..............................................................



I, the above designated agent, hereby acknowledge the receipt of this Power of Attorney


Signature: ..............................................................

Date: ......................................................................

Signed at: ..............................................................