Power of attorney and authorisation

US birth certificate (certified copy)

I, the undersigned, ____________________ (full name), ID / passport number ____________________, authorise Neos Tech Ltd (Joy Work OS), and the lawyers and agents it engages, to apply in my name to State (or city) vital records office of the state where the birth occurred; directory: CDC National Center for Health Statistics 'Where to Write for Vital Records' and to order and receive for me: US birth certificate (certified copy).

This authorisation is valid for 90 days from signing and for this request only.