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POWER OF ATTORNEY - FOR LL Purpose Only

Your Mobile Number: : *
Name of the Owner / Executant : *
eg: if 1 Name : Mr. XXXX
if 2 or 3 Names : Mr. XXXX, Mr. YYYY & MR. AAAA
if Poa Holder : MR. XXXX through his POA Mr. YYYY
if Company Name : M/s. XXXX through its Proprietor(Director) Mr. YYYYY
Gender of the Owner / Executant   *
Address of Owner / Executant : *
Address of the Premises for which Power of Attorney is to be made : *
Name of the Power of Attorney Holder/s : *
eg: if 1 Name : Mr. XXXX
if 2 or 3 Names : Mr. XXXX, Mr. YYYY & MR. AAAA
if Poa Holder : MR. XXXX through his POA Mr. YYYY
if Company Name : M/s. XXXX through its Proprietor(Director) Mr. YYYYY
Gender of the Power of Attorney Holder/s : *
Address of the Power of Attorney Holder/s : *
Relation to the Executant :
Property Type : *
State : *
Jurisdiction : *