Power of Attorney Revocation Form
Power of Attorney Revocation Form
STATE OF Ajman
I, Ghulam Sarwar S/o Ghulam Rasool Resident of House No 116, P/O Block No 43,
District Dera Ghazi Khan, with a mailing address of same for Pakistan and the
Beneficiary is currently Residing in Ajman Shop No1, Jurf Industrial area Zone No 3,
Ajman, U.A.E
City of Ajman.U.A.E hereby revoke all Powers of Attorney executed prior to the 8 th day
of Nov, 2022, made by me and appointing Amir Hussain Passport No QZ 6894723 as
my Attorney-in-Fact, and Special Power of Attorney as my successor Attorney(s)-in-
Fact.
IN WITNESS WHEREOF, I have hereunto set my hand on this the 8th day of, 2022.
____________________
Signature of Principal
__________________________ __________________________
Signature of Witness Signature of Witness
__________________________ __________________________
Street Address Street Address
__________________________ __________________________
City, State and Zip Code City, State and Zip Code
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STATE OF ____________________
COUNTY OF ____________________
BEFORE ME, the undersigned authority, on this day personally appeared , who, having
been duly sworn, states that he/she is executing this Revocation in the presence of the
Witness(es) as shown above and for the purposes therein expressed.
__________________________
Notary Public
__________________________
Print Name
(seal)
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