Special Power of Attorney

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, NAME, Filipino citizen, of legal age, CIVIL STATUS and residing at


ADDRESS, Philippines, do hereby NAME, APPOINT and CONSTITUTE (NAME
NG UUTUSAN), likewise a Filipino citizen, of legal age, (CIVIL STATUS NG
UUTUSAN) and residing at (ADDRESS NG UUTUSAN), to be my true and
lawful attorney-in–fact for me and in my name, place and stead, to do and
perform the following acts and things, to wit:

1. (BAGAY NA IPAPAGAWA);

2. To perform any act or sign or deliver any document, and to perform


such other matters as required and may aid in the prompt
consummation of the foregoing authority.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


powers and authority to do and perform any and every act and thing
whatsoever requisite, necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might or could lawfully do if
personally present and acting in person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-


fact shall lawfully do and cause to be done under and by virtue of these
presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


________________________ in Tuguegarao City, Philippines.

NAME NG NAG-UUTOS
ID
Principal

NAME NG INUUTUSAN
ID
Attorney-in-fact

Witnesses:
2

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


Province of Cagayan )S.S.
Tuguegarao City )
X - - - - - - - - - - - - - - - - - - - - - - - - - - -X

BEFORE ME, a Notary Public for and in the City of Tuguegarao, and
Province Cagayan, Philippines, ________________________, personally appeared the
above-mentioned parties with their competent proof of identity written below
their names, known to me and me known to be the same persons who
executed the foregoing Special Power of Attorney (SPA), and acknowledged
that the same is their free act and voluntary deed.

This instrument consisting of TWO (2) pages, including this whereon


the acknowledgment is written, has been signed by the party and witnesses
on each and every page thereof.

WITNESS MY HAND AND SEAL on the place and date above-stated.

Doc. No. ______;


Page No. ______;
Book No. _____;
Series of _________.

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