GENERAL / SPECIFIC POWER OF ATTORNEY Made pursuant to Section 10 of the Powers of Attorney Act 1971 (England & Wales) THIS GENERAL POWER OF ATTORNEY is made this [Day] day of [Month], [Year] BY: Name of Donor: [Donor Full Name as per Passport] Date of Birth: [DD/MM/YYYY] Nationality: Georgian Passport No.: [Passport Number] Residing at: [Current Address, Town/City, Postcode, UK] I APPOINT AND CONSTITUTE: Name of Attorney: [Attorney / Solicitor Full Name] Address: [Attorney Address / Law Firm, Postcode, UK] SRA Number (if solicitor): [Solicitor SRA Number] to be my true and lawful Attorney, in my name and on my behalf, to do and execute all or any of the following acts, deeds, and matters: 1. To act on my behalf before UK Visas and Immigration (UKVI), the Home Office, and the Immigration and Asylum Tribunal. 2. To submit applications, sign forms, lodge appeals, and receive correspondence and decisions regarding my immigration status. 3. To represent me before HM Revenue and Customs (HMRC), the Department for Work and Pensions (DWP), and local councils. 4. To manage banking, tenancy, and contractual affairs reasonably necessary for the management of my UK legal interests. I declare that this Power of Attorney shall remain in full force and effect until [Expiry Date, e.g. 31st December 2026] or until revoked by me in writing. SIGNED AS A DEED by the Donor: ____________________________________ [Donor Signature] IN THE PRESENCE OF: Witness Name: ____________________________________ Witness Address: _________________________________ Witness Occupation: _____________________________ Witness Signature: ______________________________