1 By this power of attorney made on [insert date], I, [insert name of director] of [insert address of director], being a director of [insert company name] (incorporated in [England and Wales] under registered number [insert company number]) (the Company) appoint each other director of the Company severally to be my true and lawful attorney (each an Attorney) to do all acts, deeds and things and to negotiate, consider, settle, approve, agree to, sign, execute and deliver all deeds, contracts, agreements, documents, undertakings and assurances on my behalf and in my name or in the Attorney's name which, in my personal capacity or my capacity as a director of the Company [or any of its subsidiaries (as appropriate)] may be necessary, required or which the board of directors of the Company or any committee thereof (the Board) may consider desirable for or in connection with: 1.1 [the proposed placing (Placing) of ordinary shares of