# Powers of Attorney Act (Northern Ireland) 1971, Schedule 1: FORM OF GENERAL POWER OF ATTORNEY FOR PURPOSES OF SECTION 10


THIS GENERAL POWER OF ATTORNEY is made this day of
19 by AB of .
I appoint CD of
[ or CD of and
EF of jointly or
jointly and severally] to be my attorney[s] in accordance with section 10 of the Powers of Attorney Act (Northern Ireland) 1971.
IN WITNESS etc.

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Source: https://www.legislation.gov.uk/apni/1971/33/schedule/1 (the official version)
Page: https://openlegislation.uk/powers-of-attorney-act-northern-ireland-1971/schedule-1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.