Japan

)
City of Tokyo
) ss:
Embassy of the United States of America)

POWER OF ATTORNEY

That I / we ,_______________________________________________________, presently residing at

____________________________________________,by these presents hereby make, constitute and
appoint
____________________________________________________________________________________
_________ as true and lawful attorney in fact for me / us and in my / our name(s), place and stead to
____________________________________________________________________________________
____________________________________________________________________________________
______________________________.granting and giving unto said attorney in fact full authority and
power to do and perform any and all other acts necessary or incident to the performance and execution
of the powers herein expressly granted, with power to do and perform all acts authorized hereby, as fully
to all intents and purposes as the grantor might or could do if personally present, with full power of
substitution. This power of attorney expires on this date ____________________.

In testimony whereof I / we have hereunto set my / our hand(s) on this date ____________________.

_____________________________

______________________________

I certify that on this date ____________________ the individual(s) named above appeared before me
and acknowledged to me that this instrument was executed freely and voluntarily.

_____________________________
Consul of the United States of America at Tokyo, Japan holding an indefinite commission

POWER OF ATTORNEY tt