Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Duty Stamp

Power of Attorney 10 Baht


ra#{f,auoueiru'ro grn:$aff 13
oo U'Ill
lvritren at
t lt)

Date lilonth B.E,

!ufi... i00L 1r,11......................

l. Mr./Mrs./Miss.
t-ryti-ir :.r"ru / u' t/ !-1.lat:'t.........
herei:y auihorize ;nd appoint i',4r.,/fu1rs /flilss at present w*orking
.-i^. ^-n"Yc:,+ / c ... /r ^.d-- od
'JQC'ui{Ylr.l-lirLU
in tl,.c nn<,l,nn nf
ai the cfice of
v .d o a
+{ruud.:". r'il.iA gr14A1q lfr .! ll,fr t

Tal Locateci cn 5oi/L-ane


I
tfi:, ....,.. a{autatvr {au -....,..
Rd. Sub-District District
8UlJ. ..........-........... iltU i\ ,,,.,...,,..

Frovirrce to be iatr{,-,1 anc legat attorney for the purpcse concerninq ivith i,.;:rk oerrnit,
,qn
Q{Y1sr .......... Io"ru:qri:iilrrn'l:rf,u':frlnr:gao.JpJ'1fit'r.t"r, adur:llLtcriFr:i":yn0iJnr:
sign any iccunrenis on beiraif of myself including chanqinq ';,;ords on the r.ei.ated documeais.
tec!Jtu'lau?tu{rnr{'ri'*iqnair.: :rrl#rr!suuurJesuffhrdoatu:i.dLonalrd'{narrd,rt
'vt/hat has oeen done by will remain in iuli. force
flr:1fifi u-1rJ / .i1{ / utrar'; 1dn:udr1rt1fi'fi erafi o u'j r
and *ifect as lt nes b'een cicne by myseif
t:lr"t ".d":vf-, try-'r15yp't
"6,

Signature Grantor
a.191 e ,..illi01-cit^Q

Signature
J vu
ant8........ .B J U&U UL . ] I!

.t

Srgnature !Vitness
a{18, . nil it{

t.. )

Signature \4Jitness

a{to. ,Y{8".l11

t. .,]

l{XlfltfiE urns.ir.iauii'rlrad:va.:dquiir#n?o!nr:!s1j..u'rorirrodr.:6u doun:sdrkT loalrjdott{rdoor,us,.,}.,S


REMARK in {ase grantor perfer to limit the authorization giving to the grantee it could be done by using the other
forms of power of attorney. O

You might also like