Letter from an Individual for IP-Address Access Restriction to the "Manage Your Account" section

RU-CENTER

I, __________________________________________________________________________________________________________________________________________________________,

(name and surname)

Passport:

Series:                                                                    
Number:
Issued by:
Issue date:
__________________________________________________________________________________________________________________________________________________________
(IP-addresses)

__________________________________________________________________________________________________________________________________________________________

_________________/________________
(signature /Name, surname)
      

"____"_____________ 20__

Registry No _______________
(to be filed out against the notarized power of attorney only)


RTF

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