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I, <your full name as in passport in bold> son / daughter of <your fathers name in bold> age
about <yours current age> years, occupation <your occupation>, am currently residing at <your
current address>, having the permanent address at <your permanent / parents address in India>
AND WHEREAS due to <your occupation> matter at abroad, it is not necessary for me to look after
some of the legal matters related to my marital life like annulment, RCR, maintenance, divorce, child
custody, police complain in India, etc, I have mutually decided to appoint and constitute an Attorney to
look into all the affairs relating to legal proceedings.
NOW, BY THIS POWER OF ATTORNEY, I <your full name in bold>, hereby NOMINATE,
CONSTITUTE and APPOINT the following persons as my true and lawful attorney.
1. My <Relation>, <Name of the attorney> Age about <age of attornee> years, Occupation:
<his occupation>, Residing at <Residence address of attorney>.
2. My <Relation>, <Name of the attorney> Age about <age of attornee> years, Occupation:
<his occupation>, Residing at <Residence address of attorney>.
The above persons can individually or in association, do or cause to be done in my name and on my
behalf the following acts, deeds and things that is to say:-
Signed in Presence of
High Commission of India, London
Notes:
This sheet is for your information only and not to submit with Indian Consulate.
1. Para: I, <your full name in bold> son / daughter of <your fathers name in bold> age about
<current age> years, occupation <your occupation>, am currently residing at <your current
address>, having the permanent address at <your permanent / parents address in India>
a. Put full name including the father’s name (for both yourself and your fathers). In some
places like South India, where it is only the initial of the names can be as per the
passport name
b. Age: You can put your current age in completed years
c. Occupation: Your current occupation.
d. Address: Your address in India. You can also put your parents address as permanent
address.
2. My <Relation>, <Name of the attorney> Age about <age of attornee> years, Occupation:
<his occupation>, Residing at <Residence address of attorney>.
a. Relation: It can be your parent, sibling, family member staying with you, relative or
friends
b. It is better to have more than one POA holder as sometimes if necessary any persons
can attend the court proceedings on your behalf.
c. The signatures and names on the last page should be in line with the attorney holders
d. Age, occupation and address are that of the attorney holder. They must be above 18
years of age
MOST IMPORTANT:
Do not sign this document unless the person receiving it reads the document and tells you to
sign.