(to be signed by the Head of State, Head of Government or Minister for Foreign Affairs)
Full Powers
I, [name and title of the Head of State, Head of Government or Minister for Foreign Affairs], Hereby authorize [full name and title] to represent the Government of [name of State] at the Diplomatic Conference to conclude a Treaty to facilitate Access to Published Works by Visually Impaired Persons and Persons with Print Disabilities which is to convene at Marrakesh, from June 17 to 28, 2013 (hereinafter referred to as “the Diplomatic Conference”), to participate in its work and votes, to sign, in the name of the Government of [State] the Treaty adopted/concluded at the Diplomatic Conference.
Done at [place] on [date].
[Signature].