Professional Documents
Culture Documents
English PDF
English PDF
English PDF
.................................................................................... (ผู้ที่รับบัตรแทน)
( )
Power Of Attorney
Mr. / Mrs. / Miss Abimanyu Wahyu Pratama . Family name Hermawan . (credit, debit card holder)
Credit, debit card number 5379 - 4121 - 0264 - 1403
Here by authorize Mr. / Mrs. / Miss Jesadikorn . Family name Papatikul
ID card, Passport number . 1219900891542 as my representation to collect the ticket(s)
Of order number ........................................................... Event name BRUNO MARS LIVE IN BANGKOK
Payment amount 12.160.00 baht. I hereby certify that the above is correct.
Signature.................................................................................. (Representative)
( )