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