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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________ , single, of legal age, Filipinos and all residing at


_______________, do hereby name, constitute and appoint and by this presents has
NAMED, CONSTITUTED and APPOINTED, ________, likewise of legal age, Filipino,
with residence at ________________, 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. To negotiate and to enter into a Lease Agreement with Dito Telecommunity


Corporation (“Dito”), over portions of a parcel of land (the “Lot”) located at
_______________ for telecommunication cell site, which Lot is covered by
Transfer Certificate of Title (TCT) No. ___________ declared under Tax
Declaration No. ____________ on such terms and conditions as may be
deemed reasonable by my said Attorney-in-fact;

2. To sign the Lease Agreement and to deliver any papers/documents relative to


the lease of the premises to Dito; and

3. To accept the check to be issued in the name of my Attorney-in-fact by Dito


representing rentals thereof and other charges, to encash the same and issue
acknowledgement receipt therefor.

HEREBY GIVING AND GRANTING unto my Attorney-in-Fact full power and


authority whatsoever requisite or necessary or proper to be done in or about the
premises, 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 Attorney-
in-Fact shall do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my hand this


_________________ at ____________________.

GRANTOR / PRINCIPAL

____________________

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SIGNED IN THE PRESENCE OF:

_____________________________ ________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILPPINES)


)S.S.

BEFORE ME, a Notary Public for and in the above jurisdiction, personally
appeared:

Name Gov’t ID No. Date/Place of Issue

known to me and to me known to be the same persons who executed the foregoing
instrument and he/she acknowledged to me that the same as his/her free acts and
deeds.

WITNESS MY HAND AND SEAL this ______________at


________________________.

Doc. No. _____;


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

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