Power of Attorney Form

Form E
FORM OF IRREVOCABLE POWER OF ATTORNEY

[See regulation 41 (2)]
Whereas in pursuance of section 6 of the Legal Services Authorities, Act, 1987,
the Government of Assam have constituted a body called "The Assam State Legal
Services Authority" (hereinafter referred to as "the State Authority") for the State
of Assam vide the Notification No LGL. 176 / 94 / Pt. II / 47 dated 7-4-98 of the
Government of Assam in the Legislative (Law) Department and published in the
Extraordinary Issue No. 68 of 1998 of the Assam Gazette to exercise the powers
and perform the functions conferred on or assigned to a State Authority under the
said Act;
And whereas I, Shri / Shrimati .....……………………………………….. aged …………….
years son / daughter / wife of .......................……………………………………., resident
…………………………………..... of Village / Town .......................………………………….,
Mauza .......................………………………. P.S. ...................……………………………
District……………………………………………. Assam, (hereinafter referred to as "the
Applicant") have, under the said regulations, applied for legal aid in connection
with ....................................................…………………………………. before the Court /
Tribunal/Authority ......…………………………….. (hereinafter referred to as the “said
proceeding") which the ………………………………………. Authority / Committee has
agreed to grant to me or in my favour under the said regulations;
And whereas under the provisions of the said regulations, the Applicant, had
under certain circumstances mentioned therein, to repay to the
…………………………………................. Authority / Committee as and by way of
reimbursement the amount of costs, charges and expenses incurred in connection
with the said proceeding by the ………………………….......... Authority / Committee
for and on behalf of the Applicant as and by way of legal aid under the said
regulations;
And whereas as required by the agreement dated …………………… which has been
executed prior to the execution of this present and made between myself
(hereinafter referred to as the "Applicant") on one part and the
…………………………………… Authority / Committee of the other part, it has been
agreed interalia that the ………………………………. Authority / Committee may take
such action or proceeding as it thinks fit for executing the decree, award or order
passed or that may be passed by the Court / Tribunal/Authority in the said
proceeding in my favour and for recovering the amount decreed, award or
ordered or that may be decreed, awarded or ordered in the said proceeding to be
paid to me and to appropriate there from the amount of costs, charges and
expenses incurred in connection with the said proceeding by the …………............…
Authority / Committee for and on my behalf as and by way of legal aid under the
said regulations and I have hereby authorised the ………………………….. Authority /
Committee to do so;
And whereas as per the provisions of the said regulations the Applicant, to whom
……………………………………… Authority / Committee has agreed to grant legal aid
has to execute an Irrevocable Power of Attorney in favour of the
………………………….. Authority/ Committee appointing the Member-Secretary /
Secretary of the said …………………………… Authority / Committee as my Attorney
interalia to enable the said Authority / Committee to take such action or
proceeding as it thinks fit for executing the decree, award or order passed or that
may be passed by the Court / Tribunal / Authority in my favour in the said
proceeding and for recovering the amount decreed, awared or ordered or that
may be decreed, awared or ordered in the said proceeding to be paid to me as
aforesaid;
NOW THIS PRESENT WITNESSETH that I Shri / Shrimati …………………………………
first above named, do hereby irrevocably nominate, constitute and appoint the
Member-Secretary / Secretary of the ………………………………… Authority/
Committee to be my true and lawful Attorney to do, execute and perform for me
and on my behalf and in my name or in the name of the Attorney the Following
acts, deeds, documents, matters and things, that is to say-
(1) to ask, demand, recover and receive from the party who has been or may
be decreed or ordered in the said proceeding to pay me the amounts
specified therein and upon receipt thereof or any part thereof in may name
or in the name of the Attorney or on my behalf, as the case may require, to
make, sign, execute and deliver such receipts, as the Attorney may deem
fit and proper or as may be advised by the…………… Authority / Committee.
(2) to commence, prosecute and enforce, proceeding for realisation of the
amount of any decree, award or order passed or that may be passed in the
said proceeding in my favour whereunder any amount has been or may be
decreed, awared or ordered to be paid to me including filing of applications
for the execution of the said decree, award or order and for the purpose, to
sign, declare and affirm all applications, petitions, affidavits that may be
necessary and appoint or engage any advocate on such terms and
conditions, including the fees payable to them, as the Attorney shall think
fit and to sign vakalatnama and other necessary authority in . their favour
and from time to time to discharge them and to appoint or employ others in
their place and stead;
(3) to compromise, refer to arbitration, abandon or submit to judgement in any
such Proceedings specified in clause (2) above;
(4) To concur in doing any of the acts, deeds, matters and things hereinbefore
mentioned in conjunction with any other person or persons interested in
the premises.
IN GENERAL, to do all other acts, deeds, matters and things, whatsoever, which
are necessary or may be necessary for the recovery or realisation of the amount
which has been or may be decreed, awared or ordered to be paid to me in the
said proceeding as amply and effectually to all intents and purposes as I would
have done of my own had this present not been
executed.
AND I HEREBY RATIFY AND CONFIRM AND AGREE TO RATIFY AND CONFIRM
whatever the Attorney shall do or purports to do by virtue of this present.
And I Declare that the power hereby created shall be irrevocable till the said
amount of costs, charges or other expenses incurred by the …………………….

Authority / Committee for me and on my behalf as and by way of legal aid granted
to me under the said regulations in connection with the said proceeding are fully
and effectively repaid to or realised by the …………………………………… Authority /
Committee.
IN WITNESSETH WHEREOF I Shri / Shrimati ………………………………………… first
above named have hereonto set my hand on this ……………. day of in the Two
Thousand ………………… year.
Date …………………. Signature of the Applicant / Executant
Place ………………...
Signature and Delivered by the above named Shri / Shrimati ….....…………………....
in the presence of :
Witness:
1.
2.

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Form E

FORM OF IRREVOCABLE POWER OF ATTORNEY

Whereas in pursuance of section 6 of the Legal Services Authorities, Act, 1987,

Government of Assam in the Legislative (Law) Department and published in the

And whereas I, Shri / Shrimati .....……………………………………….. aged …………….

years son / daughter / wife of .......................……………………………………., resident

…………………………………..... of Village / Town .......................………………………….,

Mauza .......................………………………. P.S. ...................……………………………

District……………………………………………. Assam, (hereinafter referred to as "the

with ....................................................…………………………………. before the Court /

Tribunal/Authority ......…………………………….. (hereinafter referred to as the “said

proceeding") which the ………………………………………. Authority / Committee has

agreed to grant to me or in my favour under the said regulations;

under certain circumstances mentioned therein, to repay to the

…………………………………................. Authority / Committee as and by way of

reimbursement the amount of costs, charges and expenses incurred in connection

with the said proceeding by the ………………………….......... Authority / Committee

…………………………………… Authority / Committee of the other part, it has been

agreed interalia that the ………………………………. Authority / Committee may take

passed or that may be passed by the Court / Tribunal/Authority in the said

proceeding in my favour and for recovering the amount decreed, award or

ordered or that may be decreed, awarded or ordered in the said proceeding to be

expenses incurred in connection with the said proceeding by the …………............…

said regulations and I have hereby authorised the ………………………….. Authority /

……………………………………… Authority / Committee has agreed to grant legal aid

has to execute an Irrevocable Power of Attorney in favour of the

………………………….. Authority/ Committee appointing the Member-Secretary /

Secretary of the said …………………………… Authority / Committee as my Attorney

interalia to enable the said Authority / Committee to take such action or

may be passed by the Court / Tribunal / Authority in my favour in the said

may be decreed, awared or ordered in the said proceeding to be paid to me as

NOW THIS PRESENT WITNESSETH that I Shri / Shrimati …………………………………

Member-Secretary / Secretary of the ………………………………… Authority/

acts, deeds, documents, matters and things, that is to say-

or in the name of the Attorney or on my behalf, as the case may require, to

fit and proper or as may be advised by the…………… Authority / Committee.

(2) to commence, prosecute and enforce, proceeding for realisation of the

said proceeding in my favour whereunder any amount has been or may be

decreed, awared or ordered to be paid to me including filing of applications

necessary and appoint or engage any advocate on such terms and

their place and stead;

(3) to compromise, refer to arbitration, abandon or submit to judgement in any

such Proceedings specified in clause (2) above;

mentioned in conjunction with any other person or persons interested in

which has been or may be decreed, awared or ordered to be paid to me in the

have done of my own had this present not been

whatever the Attorney shall do or purports to do by virtue of this present.

amount of costs, charges or other expenses incurred by the …………………….

and effectively repaid to or realised by the …………………………………… Authority /

IN WITNESSETH WHEREOF I Shri / Shrimati ………………………………………… first

Thousand ………………… year.

Date …………………. Signature of the Applicant / Executant

Signature and Delivered by the above named Shri / Shrimati ….....…………………....

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