FOR LEGALIZATION AND ADMINISTRATIVE PURPOSES
Issued in ...................., on ....................
**KNOW ALL MEN BY THESE PRESENTS**, that I, the undersigned Principal:
Hereby appoint and authorize as my true and lawful **Attorney-in-Fact** (Agent):
SCOPE OF AUTHORITY
This Power of Attorney is specifically granted to the Agent to act on my behalf to carry out the following acts and duties:
The Agent is granted full power and authority to perform any and all acts necessary to effectuate the powers granted herein, as if I were personally present.
This Power of Attorney shall be governed by and construed in accordance with the laws of the **Republic of Indonesia**.
Agent / Attorney-in-Fact
( .................... )
Principal (Grantor)
( .................... )
( .................... )