Another opening Form by Shiva.

Another opening Form

THIS POWER OF ATTORNEY is executed this the . . . . . . . . day of . . . . . . . . . in the year . . . . . . . . . . . by me, A. B., aged about . . . . . . , etc. in consideration of the premises (or, state the consideration) and I, the said A. B., do hereby appoint and nominate C. D., aged about . . . . . .  etc., my attorney for me, in my name and on my behalf to . . . . . . . . .