POWER OF ATTORNEY
I, undersigned 										, hereby give
full authorization
to Mr. 										, to examine, on my behalf all documents related to my application against the Czech Republic, which the European Court for Human Rights has registered under No. ____________. I further authorize him to make copies of any documents he choses.
				
Place and date
				
Applicant
I accept this Power of Attorney without any reservation.
				
Place and date
				
Attorney