Power-of-Attorney relating to Cooking gas Application

KNOW ALL MEN BY THESE PRESENT THAT I, Smt.……………….…………….. W/o……………………, aged about ………, residing at ………………………. whereas I am a consumer of …………………. Cooking Gas and my name is registered as a consumer with the ……… Gas Agencies at .…………………….., who are the suppliers of ………………..…………. Cooking Gas, vide Voucher No. …………… issued by the ………………………… Ltd., AND WHEREAS on account of my old age, I am unable personally to attend to matters connected with this, therefore I do hereby appoint nominate and constitute my Son Shri………………………, aged about ……. residing at ……..………………………………….  to do the following acts, deeds and things:

To appear before the ……………………….. or their dealers and stockists and represent me in connection with the supply of cooking gas, and to sign papers, execute any documents, or agreements in relation thereto for me, on my behalf and in my name,  and to do all other acts, deeds and things as are necessary for the purpose 

IN WITNESE WHEREOF I have signed on this the ….. day of ……………., 20….

EXECUTOR

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