Republic of the Philippines)

_________________________) S.S

SPECIAL POWER OF ATTORNEY

I, _________________, of legal age, and with office address at

_____________________, do hereby, APPOINT, NAME, DESIGNATE, CONSTITUTE, with
office address at ____________________________________________, to be my true and
lawful ATTORNEY-IN-FACT for me and in my name, places and stead to do and perform the
following acts, to wit:

1. To have the right and full authority to represent me in the Complaint for Damages
against ______________________;

2. To execute the Verification and Certification of Non-Forum Shopping for the

Complaint, for the Petitions before the Court of Appeals & Supreme Court (in case
the same is denied);

3. To appear, if necessary and testify in the proceedings relative to said case (Pre-Trial,
Mediation, J.D.R., Trial, etc.);

4. To offer, negotiate, accept, decide, and enter into a compromise agreement without
need of further approval by or notification to me;

5. To settle any account or reckoning, whatsoever which on or at any time hereafter,

interested or concerned with any person whomsoever, and to pay or receive in
connection thereof as the case may require; and

6. To do all acts necessary until its conclusion all the way to the Supreme Court en banc
through any other legal and appropriate remedies or until further revoked as though I
myself have so performed it and hereby approving all that she may do by virtue of
these presents.

HEREBY GIVING AND GRANTING unto my said attorney in fact full power and
authority to do and perform all and every act and thing whatsoever requisite and necessary to be
done in and about the premises, as fully, to all intents and purposes, as I might or could 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 thereof.

IN WITNESS WHEREOF, I have hereunto set my hand this ________________ at

___________________.

Grantor

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

____________________________ ) S.S.

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 BEFORE ME, this __________________, in ______________________ personally
appeared:

NAME TYPE OF ID ID No.

Known to me and to me known to be the same persons who executed/ witnessed the foregoing
SPECIAL POWER OF ATTORNEY, consisting of two (2) pages, including the page where this
acknowledgement is written, and she acknowledged to me that the same is her free and voluntary
act and deed.

WITNESS MY HAND AND SEAL on ____________________, in

_____________________________.

NOTARY PUBLIC

Doc. No. _____;

Page No. ____;
Book No. _____;
Series of 2020.

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