Please complete the information below Individual – Power of Attorney I, the undersigned: in my personal capacity, With ID Number: and Tax Number: Hereby appoint and nominate Jacobus Johannes Beyl with ID no.______________________________ of QBE Tax Partner (Pty) Ltd as my representative with full power and authority to act on my behalf in respect of my tax affairs, and in my name and on my behalf to make any enquiries or to complete or sign the necessary returns or other documents regarding my tax affairs, on my behalf lodge an objection against any assessment, appeal to the Tax Board or Court and participate in alternative dispute resolution. I hereby give my consent to QBE Tax Partner (Pty) Ltd to register me on SARS e-filling. I confirm that the authority that has been delegated to QBE Tax Partner (Pty) Ltd by this Power of Attorney may be performed by a person who is under his direct supervision. I confirm, for the purpose of absolute clarity that anything done by QBE Tax Partner (Pty) Ltd or person under his direct supervision pursuant to this Power of Attorney shall be regarded, for all intents and purposes, as having been done by myself and I undertake to ratify any actions taken in terms of this Power of Attorney. I further indemnify QBE Tax Partner (Pty) Ltd or his agent, against any loss that I might suffer from this appointment, in the event of incomplete, false and wrong information supplied by me. This Power of Attorney shall operate for a period of 2(two) years from the date of my signature. This appointment will stay in force until cancelled by me in writing. Signed at: Place: Date: Signature: Clear Name As Witness: Clear Full Names: As Witness: Clear Full Names: