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How would I sign that? The date is straight forward, but the other two.

I'm guessing make ur sig really small on the little line. Than put the date on the big line ?

Or you put ur name on the big line, and put the date under the word date.

Per: [ signing officer for X ]
authorized signing officer for:[ X ]

So,

Per: My Signature
Authorized signing officer for: My Initials

?

It is difficult to tell without knowing the purpose of the document. My assumption is that two people are required to sign it:

Per: [ signing officer for X ]
authorized signing officer for:[ X ]

If it is acceptable for only one person to sign it, then your example does apply:

Per: My Signature
Authorized signing officer for: My Initials

If I'm honest I have no clue but I think eve is right.

Yes, two people are meant to sign it, but there are two of those blocks side by side.

If the instructions are not clear, all you can do is sign it as you see fit.