SPECIAL POWER OF ATTORNEY

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

THIS IS A SAMPLE OF WHAT DOCUMENT MUST INCLUDE. APPLICANT CAN MAKE CHANGES AS REQUIRED.