委任契約書

委任人                   (男、女)於公元           

       出生。茲為辦理                          事件,因事不能親自到場,特委任受任人                             (身分證號碼:                                             ,住址:                                                      )為代理人,委任範圍如下:                                             

                                                           

                                                           

                                                           

          委任人:

          身分證號碼:

          戶籍住址:

         

          受任人:

          身分證號碼:

          戶籍住址:

 

公元