AFOVA New Letter 2 of Year 2021

Section 7 – Panorama CV 2 No. 02 / 2021 Page 315 of 332 3. Name...........................................................Signature............................ Date of Birth ……………… Aadhaar.............……………............................ Phone……………………Email…..……………………………............. Address ……............................................................................................ In the absence of any of these authorized attorneys any member of my family will have the authority to express the wishes on my behalf regarding the above treatment. I declare that this ‘Declaration’ and ‘Attorney Authorization’ shall remain in force during my life time unless I revoke it at any time and until notice of its revocation has been received by my attorneys. I understand full importance of this ‘Declaration’ and ‘Attorney Authorization’ and am fully competent to make it. Signature Date……………. Place………………… WITNESSES: This ‘Declaration’ and ‘Attorney Authorization’ has been signed in the presence of the following witnesses who are known to me, and I believe that the signatory is of sound mind. Witness No 1 Name.................... Signature......................... Address...........................