The form below should be completed and submitted before Monday 3rd April 2023.

By filling in this online form, I am stating as follows:

I, the undersigned, fully empower and authorise Dayan M D Elzas to act in my place and stead and, on my behalf, to sell any Chometz possessed by me (knowingly or unknowingly) up to and including Wednesday 5th April 2023 at 11:40am including any food in respect of which there is a doubt or possibility that it might contain Chometz, and all kinds of Chometz mixtures, and to lease all places wherein the Chometz owned by me is stored and found, especially in the premises specified below, or elsewhere. I also authorise Dayan M D Elzas to repurchase the Chometz when it is halachically permitted to do so.

Dayan M D Elzas has full authority to sell or lease all Chometz and all places wherein the Chometz owned by me is found, by any transaction in any manner which he deems fit and proper, and for such time as he believes necessary, in accordance with the detailed terms and conditions set out in the agreed Contract of Sale which he will draw up. This authorisation is made a part of that Contract.

I also give Dayan M D Elzas power and authority to appoint any proxy he deems fit in his place, with full power to sell or lease as provided herein.

The above-given powers are to be exercised in conformity with all Torah and Rabbinical regulations and laws, and also in accordance with the laws of the country.



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