Form 6 r.

17 (2)
REPUBLIC OF KENYA
COURT ANNEXED MEDIATION REGISTRY
MED NO E12 OF 2024

Mediation No. E 12 0F 2024

Arising out of:1062 OF 2023

Case Type:SCCOM

LETTER OF AUTHORISATION

TO:

The Mediator
………………..

I…………………………………… of ID No…………………………….…. do hereby authorize

……………………………………. Of ID No………………………….…..to act on my behalf in

this mediation case and confer on him/her to execute a binding settlement agreement on my behalf.

Any and all acts carried out by………………………………… on my behalf, within the scope of
the power granted herein, shall have the same effect as acts of my own.

Signature………………………… Date…………………...

TERESIA MEMIA
MEDIATOR
(MAC936-21)
0712-819-335

Copied to the Mediation Deputy Registrar

MOMBASA