
I/We the undersigned:
Full Names: _______________________________________________________________
ID Number: _______________________________________________________________
Do hereby appoint and irrevocably authorize: ____________________________________,
ID Number: ________________________________________, with the power of substitution to
my agent in my / our name, place and stead to apply for:
________________________________________________________________________,
At_______________________________________________________________________
And in general to do everything to effect the application and to do whatever I/We would do if I/We were acting in person and acting in the manner, and I/We hereby ratify, allow and confirm everything and anything my/our agent may do or may permit to be done legally in terms of this Power of Attorney.
Signed at: __________________On this _____day of _____________________________.
______________________________ ______________________________
Signature Full Names
______________________________ ______________________________
Signature Full Names (Consultant)
FULL NAMES OF CONSULTANT: ________________________________________
ADDRESS OF CONSULTANT: ________________________________________
________________________________________
________________________________________
CONTACT DETAILS OF CONSULTANT: Mobile: ____________________________________
eMail: _____________________________________
Liquor License Price and Step by Step Liquor License Application Procedure Guide