SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________________, of legal age, Filipino, ________ and a resident of

____________________, do hereby name, constitute and appoint my daughter,
____________________, likewise of legal age, Filipino, and a resident of
__________________________, to be my true and lawful attorney-in-fact to act, for and in my
stead, to do and perform the following acts, deeds and things, to wit:

1. To enter into transactions with the _________________________ and

facilitate/ process the withdrawal of my ________________________;

2. To sign, execute and submit pertinent documents as maybe required by the

__________ for the withdrawal of the said pension;

3. To receive and/ or encash the _______with any authorized bank, if the same n
be received in the form other than cash such as a check, if necessary;

4. To do such any other act or thing that may be required necessary or incidental
to carry out effectively any and all of the purposes for which this authority is
given.

I HEREBY GIVE AND GRANT unto my said attorney-in-fact full power and authority to
do and perform any and every act, and thing whatsoever requisite and necessary to be done, as
fully to all intents and purposes as I might or could lawfully do if personally present and hereby
ratifying and confirming all that my said attorney-in-fact shall lawfully do or cause to be done by
virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______________at

___________________.

________________________
Principal
OSCA I.D. with No. __________

Signed in the presence of:

_______________________ and _______________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

City of Tacloban ) S.S.

BEFORE ME, this ______________at ___________________, personally

appeared the affiant, who is known to me personally, known to me and to me known to be the
same person who executed the foregoing instrument and who acknowledged to me that the same
is his free act and deed.

Doc. No. _____;

Page No. _____;
Book No._____;
Series of 2019.