[Applicant Name]
[Applicant Address]
[Applicant Email Address]
[Applicant Telephone Number]

Date: [Insert Date]

Your Ref: [Insert Your File Reference Number, If Available]

The Director of Immigration,
Hong Kong Immigration Department,
5/F Extension Section
Immigration Tower,
7 Gloucester Road,
Wanchai, Hong Kong

Appointment of Authorized Representative for [Applicant Name] of HKID [HKID Card Number] & [Nationality] Passport [Passport Number]  

Dear Sir,

Please be advised that [Representative Name] of Hong Kong Identity Card number [Representative’s HKID Card Number], is authorised to act on my behalf in respect of the application to extend my limit of stay [and also on behalf of my accompanying family members and included in the same] which is currently under consideration by your Department.

I thank you for your kind consideration in this matter. 

Yours faithfully

[Applicant Signature]

_________________
[Applicant Name]