Power Of Attorney Form printable pdf download

Power Of Attorney Form

Form of power of attorney

According to the Clause 54 Part two Point one of Financial instruments market law

______________________________

Place and date of issuance

POWER OF ATTORNEY

_____________________________________________________________________

Natural person (name, surname, personal identification number or date of birth, place of residence) or

legal person (company name, registration number, legal address, representative, grounds of

representation) as principal

authorizes

_____________________________________________________________________

Natural person (name, surname, personal identification number or date of birth, place of residence) or

legal person (company name, registration number, legal address) as proxy

_________to represent interests of principal at________

(the exact scope of the competence can be shown if needed)

_____________________________________________________________________

Date of shareholders meeting and type – annual or extraordinary general meeting

Of joint stock company „Kurzemes ciltslietu un mākslīgā apsēklošanas stacija”

(registration number: 40003017085, legal address: Jaunpils, Jaunpils pagasts,

Jaunpils novads, LV-3145)

with ________________________________ shares belonging to the principal.

(all or showing exact amount of shares)

The power of attorney is issued ___________ subdelegation rights.

(with or without)

The power of attorney shall continue effective ____________________________.

(date)

________________________________________

Principal – natural person: signature

Principal – legal person: signature, stamp

Power Of Attorney Form