POWER OF ATTORNEY

The undersigned below:

(name of giving power) in this case act for and on behalf of (name of company), established under
the Law of (Country of Company) by deed of establishment of Limited Liability Companies
(number of deed of establishment) made by Notary (Name of notary) with ratification by Minister
of Justice and Human Right No (Number of ratification), which was published in state gazette
(number & year of state gazette), (address of company). Hereinafter referred to as “GIVING
POWER”.

In this case choosing legal residence in the Attorney’s office, and explained to give the Special
Power of Attorney to:

(name of Lawyer)

Each one as an advocate and legal consultant at the law office of ……………………….. located
at ……………………………………….. Which in this case act either individually or together,
hereinafter referred to as “RECIPIENT’S POWER”.

SPECIAL

To act on behalf of Giving Power to investigate all related to company legality

of …………………… and its business existence, tax compliance, the company's cash flow
including but not limited to the company's balance sheet.

Therefor:

 To exercise this power, RECIPIENT’S POWER given the right and authority to attend the,
Government Officials, and Other Bodies. Submit the require request, runing the action,
and perform any action

 Then, perform all acts and other measures that are considered important and useful by
the RECIPIENT’S POWER for the legal interest of GIVING POWER to solve this case
problems in a way that is allowed by law, although not expressly stated in this power of
attorney.

This power is given with the right of substitution and Retention.

 (Place, Date / Month / Year)

Recipient’s Power Giving Power

Stamp

6000

(name of recipient power). (Name of Giving Power)