SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________________, Filipino, of legal age, and a resident of

______________________________________, Philippines, do hereby appoint, name and
constitute, __________________________, also of legal age, Filipino, and a resident of
_______________________________________________Philippines, to be my true and
lawful Attorney-in-Fact for me and in my name, place and stead to transact, process, sign
any and all documents or affidavits on my behalf and to claim, demand, collect, receive
payment with regard to _____________________________________________

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority to do and perform all and every act requisite or necessary to carry into effect the
foregoing authority, as fully to all intents and purposes as I might or could lawfully do if
personally present, with full power of substitution and revocation, and hereby ratifying and
confirming all that any of my said attorney-in-fact or her substitutes shall lawfully do or
cause to be done by virtue hereof.

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

_____________, Philippines.

_______________________________
PRINCIPAL

ACCEPTED BY:

____________________________________
ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:

__________________ __________________
REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of

_____________, personally appeared _____________ with __________________________
issued on _____________ at _____________, and ___________________________issued
on _____________ at _____________, both personally known to me (or whom I have
identified through competent evidence of identity) and who represented to me that their
respective signatures on the foregoing instrument were voluntarily affixed by them for the
purposes stated in the instrument and who declared that they have executed the foregoing
instrument as their free and voluntary act and deed.

This Instrument consists of only ______ (____) page/s, including this page in which
this acknowledgment is written, duly signed by the parties and their instrumental witnesses
on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.