Power of Attorney Affidavit Form

June 1, 2011

Sample power of attorney affidavit form:

Date of filling the form: ______________

POWER OF ATTORNEY AFFIDAVIT FORM NUMBER: ___________

Name of the person seeking the power of attorney: ______________

Sex (male/female): __________

Signature of the person: ______________

Date of birth: ________________

Identification proof of the person: _____________

Current address of the person: ______________

Permanent address of the person: _____________

Contact number of the person: ______________

Email id: __________

The details of the property/asset under the administrative/official purview:

________________________________________________________

The granting of power of attorney to Mr./Mrs./Miss ____________ as per The Regulatory Act of the year _____________ is hereby certified.

Signature of the authority with the official stamp:

______________________

 

Download Power of Attorney Affidavit Form In Word Format

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