
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.