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生成一份适用于电影项目的标准授权书,内容精准且合法。
影视项目通用出演与素材使用授权书
重要提示:本授权书旨在为电影/电视剧/网络视听节目及相关宣传推广活动(统称“项目”)取得被摄对象及/或素材提供者的合法授权。签署前请仔细阅读全部条款。为确保法律效力与适配性,建议在具体项目落地前由项目法律顾问结合实际情况进行审阅与适配。
一、当事人信息 1.1 授权方(被摄对象/素材提供者):
如授权方为未成年人(未满18周岁),需由法定监护人代为同意并签署附后监护人同意书。
1.2 被许可方(制片方/出品方/其关联方与受让人):
二、定义 2.1 “作品”:指被许可方为项目之目的拍摄、录制、制作之任何视听作品、剧照、海报、花絮、特辑、预告、片花、音频、静态或动态图像以及其任何衍生、改编、再编辑版本。 2.2 “素材”:指授权方提供或配合提供的与项目相关之文字、图片、音频、视频、音乐、表演、剧本片段、道具、服装、商标/标识、名称、署名、美术作品、场地及其他可受知识产权或其他权利保护的内容与要素。 2.3 “肖像要素”:指授权方之姓名、别名、艺名、肖像、形象、相貌、体态、声音、签名、人格化特征、表演形象及可识别授权方身份的任何标识性特征。
三、授权与权利授予 3.1 肖像及人格权相关授权 授权方不可撤销地、全球范围内、在法律保护期内同意并许可被许可方及其受让人、被转许可人:
3.2 表演者权及邻接权授权(如适用) 如授权方在项目中实施任何表演或配音、演唱、演奏等活动,授权方同意将其对该等表演享有的依法可处分之权利,以独占方式许可或在法律允许范围内转让给被许可方,包括对表演进行摄制/录制、复制、发行、出租、展览、放映、广播、信息网络传播、改编、汇编、制作音像制品、同步/后期制作及用于广告与宣传之权利,授权方并同意就该等利用不再另行主张报酬或分成(法律另有强制规定的除外)。
3.3 素材授权(如适用) 如授权方向项目提供素材,授权方就其拥有或有权处分之素材授予被许可方独占、全球、不可撤销、可转许可、可再授权之使用许可,于著作权/商标权/相关权利法定保护期内,供作品及其相关用途使用,包括复制、发行、展览、放映、广播、信息网络传播、改编、翻译、汇编、技术处理及与其他素材合成;如涉及著作权人之署名权、保护作品完整权等人格权,授权方同意在法律允许范围内作出相应同意,不再另行主张限制。
3.4 数字化与深度合成特别同意 授权方明确同意被许可方为项目合理需要而对肖像要素及/或声音进行数字化处理、合成、替换、去龄化/增龄化、声音拟合、语音合成、脸部/体态替身及其他基于算法或人工智能的深度合成技术处理,并在合规前提下用于作品及相关宣传。被许可方将依法履行标识、提示等监管合规义务(如适用)。
3.5 期限与地域 上述授权为全球范围,自本授权书生效之日起至相关权利法定保护期届满止;法律允许延长保护期的,随之延长。
3.6 独立权利处分 被许可方有权将本授权项下权利全部或部分转让、出质、转许可予其出品方、发行方、被授权运营平台、被许可的媒体及其他业务合作方,无需另行征得授权方同意或另付对价。
四、报酬与费用 4.1 报酬安排(择一或由双方填写)
4.2 税费 被许可方按适用税法代扣代缴个人所得税或其他应纳税款(如适用),并向授权方开具相应凭证。
五、陈述与保证 5.1 授权方声明并保证:
5.2 被许可方声明并保证:
六、个人信息与合规 6.1 授权方同意被许可方为项目之目的收集、存储、使用、加工、传输、提供及公开其个人信息(包括可能构成生物识别信息的肖像、声音),并同意在为实现发行、国际销售或全球传播之必要范围内进行跨境传输与处理,且被许可方将依照适用个人信息保护法律采取安全措施。 6.2 授权方了解并同意可通过被许可方公布的联系方式行使查询、更正、删除等法定权利,法律另有规定或为作品存档、依法留存需要的除外。
七、署名与信用 除双方另有书面约定外,授权方不享有固定署名权或版面位置之权利,被许可方可自行决定是否及如何在作品或宣传品中对授权方进行署名或致谢;法律强制要求署名的,依其规定办理。
八、保密义务 授权方对未公开之项目信息(包括剧情、角色设定、拍摄内容、商业安排、费用标准、未公开演员名单等)负有保密义务,未经被许可方书面同意不得向任何第三方披露、发布、泄露或以任何方式公开。该义务自接触信息之日起生效,于相关信息公开后或五年期满(以较晚者为准)终止。
九、权利豁免与救济限制 9.1 在法律允许范围内,授权方同意不因被许可方依本授权进行的合法使用而主张停止侵害、删除、屏蔽、断开链接或其他禁令救济;如确需纠正的,被许可方可通过技术或商业上合理方式修正、替换或下架相关内容。 9.2 本条不限制授权方依法就被许可方恶意或重大过失行为寻求救济的权利。
十、不可抗力 如发生地震、火灾、洪水、台风、战争、政府行为、法律政策重大变化、传染病防控措施或其他不可抗力导致一方不能或延迟履行义务的,受影响一方可在合理期限内免责,但应及时通知并在可能情况下提供证明。
十一、终止 11.1 本授权为不可撤销之长期授权,除非被许可方严重违约且在合理期限内未予纠正,授权方不得单方解除。 11.2 本授权终止不影响被许可方及其受让人、被转许可人已完成之使用行为及已对外作出的许可,亦不影响为实现发行、存档、监管合规所必要之继续保存与合理使用。
十二、适用法律与争议解决 12.1 本授权书受中华人民共和国法律(不含冲突规范)管辖并据其解释。 12.2 因本授权引起或与其有关之争议,由双方协商解决;协商不成的,提交中国国际经济贸易仲裁委员会(CIETAC)按其届时有效的仲裁规则在北京进行仲裁,仲裁裁决为终局,对双方均有约束力。(可选:约定有管辖权的人民法院为被许可方住所地法院)
十三、其他 13.1 完整协议:本授权构成双方就本授权标的之完整协议,取代此前口头或书面之沟通与理解。任何修改须经双方书面签署方为有效。 13.2 可分割性:本授权任何条款因任何原因被认定为无效或不可执行的,不影响其他条款之效力;双方应以最接近原意之替代条款替换之。 13.3 转让:被许可方可转让本授权及其项下权利义务;授权方未经被许可方书面同意,不得转让。 13.4 通知:双方以本授权所载联系方式为有效送达地址。联系方式变更应书面通知对方。 13.5 文本与签署:本授权可由中英文对照文本构成,发生歧义以中文文本为准。可采用电子签名/盖章及电子传输方式签署并具同等法律效力。可签署多份,每份均具同等效力。
签署页
授权方(被摄对象/素材提供者): 签字/盖章: 姓名/名称: 身份证/统一社会信用代码: 日期:
法定监护人(如适用): 签字: 姓名: 与未成年人关系: 证件号码: 日期:
被许可方(制片方/出品方): 签字/盖章: 名称: 法定代表人/授权代表: 日期:
附件一:拍摄/使用信息(选填)
附件二:第三方素材清单与权属证明(如适用)
专业提示(非合同条款):
Standard Release and Authorization for Motion Picture Production
This Release and Authorization (Release) is entered into as of [Date] by and between [Producer/Production Company Name], a [jurisdiction and entity type] with principal place of business at [Address] (Producer), and the undersigned individual and/or authorized representative (Participant). Producer and Participant are each a Party and together the Parties.
Project; Definitions 1.1 Project means the audiovisual project currently entitled “[Project Title]” (including any working, alternate, foreign-language, or successor titles), and all related versions, advertising, publicity, trailers, teasers, behind-the-scenes, ancillary, and derivative works. 1.2 Recordings means all audiovisual, audio, photographic, and other recordings captured by or for Producer that include Participant’s name, image, voice, signature, performance, biographical data, statements, silhouette, mannerisms, or other indicia of identity (Likeness). 1.3 Participant Content means any material furnished by Participant, including without limitation photographs, video, artwork, music, text, designs, logos, trademarks, recordings, scripts, or other content. 1.4 Property (if applicable) means the real property, business, or personal property owned or controlled by Participant, identified as [Property Description/Address], to be depicted or used in connection with the Project. 1.5 Released Parties means Producer and Producer’s affiliates, parents, subsidiaries, successors, assignees, licensees, financiers, insurers, distributors, exhibitors, and each of their respective officers, directors, members, employees, contractors, agents, and representatives.
Grant of Rights; Consent 2.1 Appearance and Likeness. Participant irrevocably grants to Producer the unrestricted right to photograph, film, tape, record, edit, reproduce, adapt, modify, synchronize, portray, publish, exhibit, distribute, advertise, publicize, and otherwise use the Recordings and Participant’s Likeness in connection with the Project, in whole or in part, alone or with other material, in any and all media now known or hereafter devised, worldwide, in perpetuity, in all languages, formats, and versions, for any purpose related to the development, production, distribution, exhibition, advertising, publicity, and other exploitation of the Project and its ancillary products and services. 2.2 Property Rights (if applicable). Participant authorizes Producer to enter upon and photograph, film, record, depict, and otherwise use the Property and any names, signs, trademarks, furnishings, artwork, and other materials visible at the Property in connection with the Project. Producer may depict the Property as Producer deems appropriate, including by re-creating, simulating, or altering it. Producer shall have no obligation to restore the Property other than reasonable wear and tear caused by ordinary production activities. 2.3 Participant Content. To the extent Participant furnishes Participant Content, Participant grants to Producer a perpetual, irrevocable, worldwide, transferable, sublicensable, royalty-free, fully paid license (with the right to reproduce, distribute, publicly perform, publicly display, transmit, adapt, modify, synchronize, edit, reformat, and create derivative works) to use the Participant Content in and in connection with the Project and its exploitation across all media now known or hereafter devised. 2.4 Publicity and Promotion. Participant consents to the use of Participant’s name, Likeness, and biographical information in connection with the advertising, publicity, and promotion of the Project and Released Parties. 2.5 No Obligation; Editorial Control. Producer shall have no obligation to use the Recordings, Participant Content, or Property, and shall have the exclusive right to determine the content, editing, context, and manner of exploitation, without further approval from Participant.
Consideration For good and valuable consideration, the receipt and sufficiency of which are acknowledged (which may include the opportunity to participate in the Project, screen credit at Producer’s discretion, and/or [Fee Amount] if applicable), Participant agrees to be bound by this Release. Participant acknowledges that no additional compensation, royalties, or residuals shall be due beyond the consideration expressly stated herein, except as required by applicable collective bargaining agreements or non-waivable law.
Representations and Warranties Participant represents and warrants that: 4.1 Capacity and Authority. Participant is at least the age of majority and has full right, power, and authority to enter into and perform this Release; or, where Participant is a minor, the Minor/Parental Consent attached hereto is executed by a legal parent or guardian. If executed on behalf of an entity or Property owner, the signatory is duly authorized to bind such entity or owner. 4.2 Rights in Participant Content/Property. Participant owns or controls all necessary rights, consents, and permissions in and to the Participant Content and, if applicable, the Property, sufficient to grant the rights herein, and the same will not infringe, misappropriate, or violate any third-party rights, including copyrights, trademarks, moral rights, privacy, or publicity rights. 4.3 Union/Guild Status. Participant is not subject to any guild, union, or other agreement that would require Producer to make payments or provide benefits in addition to those expressly provided herein, or Participant has notified Producer in writing of all such obligations and this Release is subject to and will be administered in accordance with any applicable collective bargaining agreement. 4.4 Compliance. Participant’s participation will not violate any contract, policy, order, or law applicable to Participant.
Moral Rights; Waiver; No Injunctive Relief 5.1 To the maximum extent permitted by applicable law, Participant irrevocably waives and agrees not to assert any so-called “moral rights,” “droit moral,” or similar rights (including rights of attribution and integrity) with respect to the Recordings, Participant Content, and the Project. Where such rights are not waivable, Participant agrees not to enforce them against Released Parties. 5.2 Participant agrees that Participant’s sole remedy for any breach by Producer shall be an action at law for damages (subject to the limitations herein), and Participant irrevocably waives any right to seek or obtain injunctive or other equitable relief that would in any way restrict the production, distribution, or exploitation of the Project, except where such waiver is prohibited by non-waivable law.
Release; Assumption of Risk; Indemnity 6.1 Release. To the fullest extent permitted by law, Participant releases, discharges, and holds harmless the Released Parties from and against any and all claims, demands, causes of action, liabilities, and damages arising out of or relating to the production, the Recordings, the Property, Participant Content, or the exploitation thereof, including without limitation claims for infringement, misappropriation, right of publicity, privacy (including false light and intrusion), defamation, and emotional distress, whether known or unknown, foreseen or unforeseen, in law or in equity. 6.2 Assumption of Risk. Participant acknowledges and assumes any ordinary risks inherent in participation in audiovisual production activities at the Property or production locations, and agrees to follow all reasonable safety directions of Producer. 6.3 Indemnity. Participant will indemnify, defend, and hold harmless the Released Parties from and against any third-party claims, losses, liabilities, costs, and expenses (including reasonable attorneys’ fees) arising out of or relating to (a) any breach or alleged breach of Participant’s representations, warranties, or obligations hereunder; (b) any claim that the Participant Content or Property, as provided or authorized by Participant, infringes or violates any third-party rights; or (c) Participant’s willful misconduct or gross negligence.
Credit; No Joint Venture; No Employment 7.1 Credit. Any credit shall be at Producer’s sole discretion unless otherwise expressly agreed in a signed writing. No paid advertising or most favored nations credit is granted or implied. 7.2 No Joint Venture. Nothing herein creates a partnership, joint venture, or agency relationship between the Parties. 7.3 No Employment. This Release does not create an employment relationship. If Participant is separately engaged as crew or cast, such engagement shall be governed by a separate written agreement.
Data Protection; Privacy 8.1 Notice and Consent. Participant acknowledges that Producer may collect, process, store, transfer, and use personal data (including contact details, biographical information, and the Recordings) for purposes of producing, financing, exploiting, marketing, and archiving the Project, and to comply with legal and insurance requirements. 8.2 Legal Basis; Transfers. Processing will occur on the basis of this Release, Producer’s legitimate interests in production and distribution, and compliance obligations. Participant consents to cross-border transfers and storage in jurisdictions that may have different data protection regimes than Participant’s home jurisdiction, subject to applicable law. Participant may contact Producer at [privacy contact/email] to exercise applicable data subject rights, subject to legal limitations. 8.3 Retention. Producer may retain personal data and the Recordings as reasonably necessary for the Project’s lifecycle and related legal, accounting, and archival purposes.
Insurance; Safety; Force Majeure Producer shall maintain customary production insurance in its discretion. Producer shall not be liable for delay or failure to perform due to events beyond its reasonable control, including acts of God, labor disputes, epidemics, governmental actions, or equipment failure.
Assignment; Successors Producer may freely assign, license, or otherwise transfer this Release and the rights granted herein, in whole or in part, to any party (including financiers, distributors, and successors) without notice or further consent. Participant may not assign this Release without Producer’s prior written consent. This Release binds and benefits the Parties and their respective heirs, executors, administrators, successors, and permitted assigns.
Choice of Law; Dispute Resolution 11.1 Governing Law. This Release shall be governed by and construed in accordance with the laws of [choose one: the State of New York / the State of California / England and Wales / applicable jurisdiction], without regard to its conflicts-of-law principles. 11.2 Forum/Arbitration. Any dispute arising out of or relating to this Release shall be resolved by [binding arbitration before JAMS/AAA under its [Consumer/Commercial] Rules in [City, State], with one arbitrator,] or [exclusive jurisdiction and venue in the state and federal courts located in [County, State]], and the Parties irrevocably submit to such jurisdiction. Judgment on any arbitration award may be entered in any court of competent jurisdiction. Each Party waives any right to a jury trial to the extent permitted by law. 11.3 Attorneys’ Fees. The prevailing Party shall be entitled to recover reasonable attorneys’ fees and costs as permitted by applicable law or contract.
Miscellaneous 12.1 Entire Agreement. This Release constitutes the entire agreement between the Parties with respect to its subject matter and supersedes all prior or contemporaneous understandings not expressly set forth herein. 12.2 Amendment; Waiver. No amendment or waiver shall be effective unless in a signed writing by the Party to be bound. No waiver of any breach shall be deemed a waiver of any other or subsequent breach. 12.3 Severability. If any provision is held unlawful or unenforceable, such provision shall be reformed to the minimum extent necessary to be enforceable, and the remainder shall remain in full force and effect. 12.4 Notices. Notices shall be in writing and deemed given when delivered by hand, confirmed courier, or email with confirmation to the addresses below. 12.5 Counterparts; Electronic Signatures. This Release may be executed in counterparts and by electronic signatures or acceptance (including via secure e-signature platform), each of which shall be deemed an original and all of which together constitute one instrument. 12.6 Headings. Headings are for convenience only and do not affect interpretation.
Signatures
Participant: Name: Signature: Date: Address: Email/Phone: If signing on behalf of entity, title and entity name:
Producer: Name: Title: Company: Signature: Date: Address: Email/Phone:
Optional: Property Description (attach if necessary) Property Address/Location: Owner/Authorized Representative Name and Title: Special Conditions (e.g., areas off-limits, load-in/out times):
Optional: Compensation/Consideration Rider Fee/Consideration: Payment Terms: Taxpayer/Payee Information:
Minor/Parental Consent (if Participant is under the age of majority) I am the parent or legal guardian of the minor named below (Minor). I represent and warrant that I have the legal right to consent to and do hereby consent to the execution of this Release on behalf of the Minor; I approve the Minor’s participation; and I agree to ensure the Minor’s compliance and to be bound by all terms of this Release, including the grants, waivers, releases, and indemnities, both individually and on behalf of the Minor. Minor’s Name and Age: Parent/Guardian Name: Signature: Date: Address: Phone/Email: Relationship to Minor:
Drafting Notes for Implementation (to be deleted before execution)
以下範本旨在作為電影專案通行之「出演與肖像/姓名/聲音使用授權及權利豁免書」模板。實務運用時,請依管轄法、工會規範(如有)與製作端需求調整,並就道德權等不可拋棄權利(依不同法域有差異)作相應處理。
—— 範本開始 ——
電影專案出演與肖像/姓名/聲音使用授權及權利豁免書
本授權書(下稱「本授權書」)由下列雙方於[ ]年[ ]月[ ]日訂立:
受權人(製作方):[公司名稱],公司註冊號/統一編號:[ ],地址:[ ](下稱「製作方」)
授權人(出演人/受訪人/被攝者):姓名:[ ],身份證號/護照號:[ ],地址:[ ],聯絡方式:[ ](下稱「授權人」)
一、專案說明 1.1 製作方正在開發、製作並發行名為[專案名稱]之電影長片/紀錄片/短片(含其任何版本、續作、預告、宣傳及衍生利用,下稱「專案」)。 1.2 授權人同意依本授權書之條款,授權製作方於專案中及與專案相關之利用,拍攝、錄製、使用並開發授權人之影像、聲音、姓名、肖像、簽名、傳記資料、表演及其他相關個人識別內容(以下合稱「素材」)。
二、授權與權利處理 2.1 授權範圍:授權人同意授權製作方及其受讓人、被授權人於全球範圍、永久期間,以任何現有或將來開發之形式或媒體,就素材及其所嵌入之專案或相關製作,享有下列權利:
三、對價與報酬 3.1 對價:授權人確認已收受充分對價,包括但不限於報酬新臺幣/港幣/美元[ ]元或其他合理對價(如無償,請記載:雙方同意以名義對價新臺幣/港幣/美元壹元整及其他良好且有價值之對價為憑)。 3.2 無額外費用:除非書面明訂,授權人同意不另主張任何費用、權利金、殘值、重播費或其他報酬。
四、陳述與保證 4.1 授權資格:授權人陳述並保證其具有完全行為能力及充分權限簽署本授權書,且不受任何合約、工會/行會協議或第三人權利之限制或禁止;如授權人受工會/行會(如SAG-AFTRA等)規範,應事前書面告知並保證不致使製作方承擔違約或追加付款責任。 4.2 第三方權利:素材或授權人提供之任何資料(如音樂、照片、文字、商標、設計、表演內容)不侵害任何第三人之著作權、鄰接權、商標權、姓名權/肖像權、隱私權、人格權或其他權利。 4.3 無誹謗等:素材內容不包含誹謗、違法或侵害善良風俗之成分。 4.4 個資真實:授權人提供之個人資料真實、正確並完整。
五、第三方資料 如授權人同時提供其自有或其合法可授權之資料(「授權資料」),授權人就該等授權資料授與製作方全球、不可撤回、可再授權、永久之[專屬/非專屬]授權,以供專案利用;並就其權利保證與賠償條款準用第四條及第八條。
六、個人資料與隱私 6.1 告知與同意:授權人同意製作方為專案之製作、發行、行銷、權利管理、會計稽核與合規之目的,依適用個人資料保護法(例如中華民國個人資料保護法/香港個人資料(私隱)條例/其他適用法)蒐集、處理及利用授權人之個人資料,包括姓名、聯絡方式、基本傳記資料、影像與聲音等。 6.2 傳輸與保存:授權人同意得為前述目的跨境傳輸及委由第三人處理。製作方將採取合理之技術與組織措施以保護個資安全,並依適用法保存必要期間。 6.3 資料權利:授權人得依適用法就其個資行使查詢、更正、刪除或撤回同意之權利,但撤回不影響撤回前之合法處理及本授權所授權之利用。
七、豁免與不可主張 在適用法律允許之最大範圍內,授權人同意對製作方及其母公司、子公司、關係企業、受讓人、被授權人、投資人、發行與播映平台、代理及其受雇人(合稱「被豁免人」)就素材之拍攝、剪輯、利用或與之相關之作為/不作為,放棄並永久不可主張任何現有或將來可能產生之請求,包括但不限於肖像權/姓名權、隱私侵害、精神損害、道德權(依2.4之處理)、誤導性表述、誹謗或不實陳述等之請求;惟被豁免人之故意不法行為或重大過失,依適用法不得事前免責者,不在此限。
八、賠償 如因授權人違反本授權書之陳述、保證或義務,致被豁免人受第三人主張、索賠、訴訟或行政調查,授權人應對被豁免人所受之損害、和解金、合理之律師費及費用負責賠償;惟製作方之單獨過失所致者不在此限。
九、禁制救濟之限制 授權人同意,如發生爭議,金錢賠償通常足以補償,並在適用法允許範圍內放棄申請或取得臨時或永久禁制令、下架令或其他衡平救濟,以限制專案或素材之發行、播映或利用;惟法律明文不得事先拋棄者不在此限。
十、轉讓與分包 製作方得將本授權書及其權利義務轉讓或授權予任何第三人(包括投資人、買方、保證人、發行或播映平台等);授權人不得未經書面同意轉讓其權利義務。
十一、期限、地區與存續 本授權書之授權為全球、永久;其關於權利授與、道德權處理、豁免、賠償、法律適用與爭議解決等條款於本授權書終止或履行完畢後仍然存續。
十二、適用法律與爭議解決 12.1 適用法律:本授權書受[選填一:中華民國(臺灣)法/香港特別行政區法/美國加州法/其他:[ ]]管轄並依其解釋,但不包含其涉外民事法律適用之衝突規則。 12.2 爭議解決:雙方同意先行善意協商;協商不成者,提交[專屬管轄法院:[地點、法院級別]/仲裁:[機構名稱]依其仲裁規則於[地點]以[語言]進行]最終解決。仲裁裁決對雙方具有終局拘束力並得向有管轄法院聲請承認與執行。
十三、其他 13.1 完整合意:本授權書構成雙方就其主旨之完整合意,並取代任何先前口頭或書面協議。任何修改應以書面為之並經雙方簽署。 13.2 可分割性:本授權書任何條款受判決或法律認定為無效或不可執行時,不影響其他條款之效力;無效部分於法律允許範圍內自動調整至可執行之最低程度。 13.3 通知:雙方之通知以書面為之,寄送至本文抬頭所載地址或其後書面指定之地址;得以專人遞送、掛號郵寄或電子郵件送達(如雙方書面同意)。 13.4 語言:本授權書以中文(繁體)作成。如另有語文版本不一致,以本中文版本為準。
十四、未成年人條款(如適用) 如授權人未滿法定年齡,則其法定代理人/監護人兹同意並代表該未成年人同意本授權書全部條款,並保證其有完全權限為該未成年人作成此等同意與授權,且對前述之陳述、保證、豁免與賠償條款共同負責。
簽署
授權人(出演人/受訪人/被攝者) 簽名:_____________________ 姓名(正楷):________________ 日期:_____________________ 身分證號/護照號:___________
法定代理人/監護人(如適用) 簽名:_____________________ 姓名(正楷):________________ 與未成年人關係:____________ 日期:_____________________
製作方(受權人) 公司名稱:___________________ 授權代表人簽名:_____________ 姓名/職稱:_________________ 日期:_____________________ 公司章(如適用):___________
—— 範本結束 ——
重要備註(請依實務與法域調整):
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