Schedule 1—Form of general power of attorney
THIS GENERAL POWER OF
ATTORNEY is made pursuant to section 5 of the
Powers of Attorney and Agency Act 1984 this
day
of 20 by
AB
of
1 I appoint CD of
[or
CD
of
and EF
of
jointly or jointly and severally] to be my attorney[s].
2 I authorise my
attorney[s], subject to clause 3, to do on my behalf anything that I can
lawfully do by an attorney.
3 The authority of my
attorney[s] is subject to the following conditions, limitations or exclusions:
IN WITNESS etc