Alij

Authorization letter

Date:  

To the Alij Healthcare Platform team,

We,  , authorize   to act as our designated contact for registering our nonprofit organization with the Alij Healthcare Platform and coordinating matters related to the application.

Organization registration/license number:  
Authorized contact's mobile number:  
Authorized contact's email:  

Authorized signatory:  
Position:  
Signature and official stamp:  

Please sign and stamp this letter, then upload it with your registration application.