Revocation of Power of Attorney

COMPANY LETTERHEAD

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

NOTICE OF REVOCATION OF POWER OF ATTORNEY

Date: {{date}}

To Whom It May Concern,

This Notice serves to formally revoke the Power of Attorney previously granted by me, the undersigned Principal, to the Agent named below.

PRINCIPAL DETAILS

Full Name: {{principal_full_name}}

Identity/Passport Number: {{principal_id_number}}

Address: {{principal_address}}

AGENT DETAILS

Full Name: {{agent_full_name}}

Identity/Passport Number: {{agent_id_number}}

Address: {{agent_address}}

DETAILS OF ORIGINAL POWER OF ATTORNEY

I, {{principal_full_name}}, did on or about {{date_of_original_poa}}, execute a Power of Attorney appointing {{agent_full_name}} as my true and lawful attorney-in-fact.

The said Power of Attorney was for the purpose of {{purpose_of_original_poa}}.

A copy of the original Power of Attorney is attached hereto, marked as Annexure 'A'.

EFFECTIVE DATE OF REVOCATION

This revocation shall be effective immediately upon the date of this notice, being {{effective_revocation_date}}.

All authority granted to {{agent_full_name}} under the aforementioned Power of Attorney is hereby terminated as of this effective date.

INDEMNITY AND DISCLAIMER

I hereby declare that any act performed by the aforementioned Agent on my behalf after the effective date of this revocation shall be null and void and shall not be binding upon me.

I further indemnify and hold harmless any third party who, without knowledge of this revocation, acts in reliance upon the original Power of Attorney prior to receiving formal notification of this revocation.

PUBLICATION AND NOTIFICATION

Copies of this Notice of Revocation shall be circulated to all relevant parties including, but not limited to, financial institutions, legal representatives, and any other entities with whom the Agent was authorized to interact on my behalf.

Acknowledgement of receipt of this revocation is requested where deemed necessary.

ACKNOWLEDGEMENT BY WITNESSES

We, the undersigned witnesses, declare that {{principal_full_name}} signed this Revocation of Power of Attorney in our presence, understanding its contents and implications.

SIGNATURE BLOCK

__________________________

Principal's Signature

{{principal_full_name}}

Date: {{date}}

__________________________

Witness 1 Signature

{{witness_1_full_name}}

Address: {{witness_1_address}}

Date: {{date}}

__________________________

Witness 2 Signature

{{witness_2_full_name}}

Address: {{witness_2_address}}

Date: {{date}}