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4-Laning of Dhaka-Chittagong - Roads and Highways Department

4-Laning of Dhaka-Chittagong - Roads and Highways Department

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2nd <strong>Dhaka</strong>-<strong>Chittagong</strong> National Highway (Expressway)<br />

Request for Qualification Document<br />

10.3 FORM III: POWER OF ATTORNEY TO THE SIGNATORY 2<br />

TO WHOM IT MAY CONCERN<br />

Mr./Ms._________(name <strong>of</strong> the person(s)), residing at_________(address), acting<br />

as_________(designation <strong>and</strong> name <strong>of</strong> the organization), <strong>and</strong> whose signature is<br />

authorized below, shall be the person on behalf <strong>of</strong>________(name <strong>of</strong> the Investor) to<br />

provide information <strong>and</strong> respond to inquiries etc. as may be required by the <strong>Roads</strong> <strong>and</strong><br />

<strong>Highways</strong> <strong>Department</strong>, Ministry <strong>of</strong> Communications or any governmental authority in<br />

connection with the “Construction <strong>of</strong> 2nd <strong>Dhaka</strong>-<strong>Chittagong</strong> National Highway<br />

(Expressway) in Bangladesh on Public- Private Partnership (PPP) Basis” <strong>and</strong> is<br />

also hereby authorized to sign <strong>and</strong> file relevant documents in response to the above.<br />

(Authorized signature to be given here)<br />

Name:<br />

Designation:<br />

Organization:<br />

Seal <strong>of</strong> the Organization:<br />

2 Power <strong>of</strong> Attorney to be provided on a non-judicial stamp <strong>of</strong> Taka 150 / or as permissible under the<br />

laws <strong>of</strong> the respective country.<br />

<strong>Roads</strong> <strong>and</strong> <strong>Highways</strong> <strong>Department</strong> 32

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