A. ATTESTATION
.......By Completing This Form, IHereby Agree To Reserve The Service Of Barr. Edwin Patricia OfAED Solicitor LLPAs A Representative And All Rights Regarding The Signing On My Final Funds Release Order DocumentsAtCreditSuisse Bank London.
Sign Date:
B. PARTICULARS
NAME:
ADDRESS:
OCCUPATION:
TEL
C. POWER OF ATTORNEY
of the above stated name and address hereby transfer a power of attorney to Barr. Edwin Patricia OfAED Solicitor LLP in representing me at Credit Suisse Bank London with reference to the below information:
NAME OF DECEASED:
RELATIONSHIP:
INHERITANCE FUND AMOUNT:
ACCEPTANCE:
For: Barr. Edwin Patricia Of AED Solicitor LLP
NAME:
DATE DESIGNATION:
COMMENT: