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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _____________, of legal age, Filipino citizen, and a resident of ______________ do to


hereby NAME, CONSTITUTE AND APPOINT ___________________________, also of legal age, and a
resident of San Pedro, Laguna, to be my true and lawful attorney-in-fact, for us and in our name, place
and stead, and for my own use and benefit, to do and perform all or any of the following acts and
things, namely:

1. To  represent me  before ___________________ n in connection with my


______________________.

2. To receive all necessary documents requisite for my _________________.

3. And to generally do and perform all and every acts which may be requisite, necessary or
proper to carry out the above purposes.

HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and
authority to do and perform 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, hereby ratifying and confirming all that my said attorney shall lawfully do
or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______day of


_______________ at _________________.

______________________________

Accepted by:

______________________________
Attorney-in-fact

SUBSCRIBED AND SWORN TO before me this ________ 2020 at _________________, affiant


exhibited to me their identities.

NOTARY PUBLIC

Doc No. _______;


Page No. ______;
Book No. ______;
Series of 2020.

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