Page 85 - Estate Planning Documents

4. I authorise my enduring guardian to exercise the following functions:

a. to decide where I live,
b. to decide what health care I receive,
c. to decide what other kinds of personal services I receive,
d. to consent to the carrying out of medical or dental treatment on me (in accordance
with Part 5 of the Guardianship Act 1987).

5. I place the following limits on the authority of my enduring guardian:

Nil.

6. The functions of my enduring guardian must be exercised in accordance with the following
directions:

Nil.

7. Signature of Appointor

....................................................... Date: ....................................
ESTHER ANNE JONES

8. Acceptance by enduring guardian

I accept my appointment as enduring guardian

Name: GARY DAVID JONES

Signature: ........................................ Date: .................................

Name: AMIE LOUISE WARD

Signature: ........................................ Date: .................................

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