I/We hereby appoint
Power of Attorney in Civil Proceedings
as my/our Representative(s) in the case of
in the trial of the
Name of Representative :
Unit Working With :
Limit of Authority :
Name of Representative:
Unit Working With :
Limit of Authority :
Signature of Appointee :
Identity Card No.
Signature of Appointee
Identity Card No.
between
Plaintiff
and
Respondent
Instance Court.
Appointor (Unit) :
Agent Ad Litem :
Identity Card No.
Dated:
(Please note overlear)
1
7
ث الوان جد الله البهار على