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User's full name
Email
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Phone Number
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11
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Section 1/5 : COMMENCEMENT
Please state the date of commencement of this agreement.
MM slash DD slash YYYY
Section 2/5 : APPOINTMENT
DONOR
Full Name:
*
Address:
*
Occupation:
*
DONEE
Full Name:
*
Address:
*
Occupation:
*
Section 3/5 : DELEGATED POWERS.
Please list below the powers sought to be conferred on the donee.
Section 4/5 : IRREVOCABILITY
Do you wish to revoke this attorney in the future?
*
Yes
No
Section 5/5 : EXECUTION AND ATTESTATION
WITNESS DETAILS
Name
Occupation
Address
(NB; It is required that a Power of Attorney be attested to by a Judge, Magistrate or Notary Public. See S.150 Evidence Act)
Yes I Understand.
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