Application-commission for natural persons

Application-commission # ______

Ukraine, Kyiv                                                                                                               200 __ , ___________________ "   ". 

I, ______________________________________________, citizen of ______________________

authorize

Private Entrepreneur Eduard Baghirov, acting on the basis of the registration certificate #385-8959, granted by Podil district in Kyiv State Administration, in the person of his charge-d'affaires - Mykola Kolisnychenko, acting on the basis of power of attorney #BAK 731905 from June 10, 2003 to publish information materials (code # ________________) in the site www.blackpage.com.ua. 

              Date	                                                                                 Signature


      


      
Application-commission # ______ 
      
Ukraine, Kyiv 
                                                                                                                    200 
      __ , ___________________ "   ". 
      

      
I, ______________________________________________, citizen of ______________________ 



      
authorize 
      
Private Entrepreneur 
      Eduard Baghirov, acting on the basis of the registration certificate 
      #385-8959, granted by Podil district in Kyiv State Administration, in the 
      person of his charge-d'affaires - Mykola Kolisnychenko, acting on the 
      basis of power of attorney #BAK 731905 from June 10, 2003 to remove 
      information materials (code # ________________) from the site 
      www.blackpage.com.ua. 
              Date	                                                                                 Signature