SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, __________________, of legal age, Filipino, married, and a resident of No. Martinez

Unidos St., Sta. Cruz, Makati City, by these presents do hereby name, appoint and constitute my
husband __________________ likewise of legal age, Filipino and a resident of the same address,
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, things and deeds, to wit:

1. To inquire, transact and appear before PSBANK and/or The Mercantile Insurance Co.,
Inc. or any other offices in behalf of the registered owner for the issuance of the Certified
True Copy of the OR/CR, Certificate of Bank Conformity and of the new insurance
policy for “TNVS/for Hire”;

2. To process and submit documents particularly with respect to the issuance of the
Certified True Copy of the OR/CR from PSBANK with Certificate of Conformity
(stating that PSBANK allows the unit to be converted into for hire/TNVS) for the vehicle
particularly described as follows:

Car Model:

3. To sign and submit documents with respect to the changing of the insurance policy
coverage of the above-stated vehicle from “personal use” to “public use/for hire” or
specifically known as “TNVS”;

4. To sign, submit and receive any document in relation to the above-stated issuance of the
Certified True Copy of the OR/CR, Certificate of Bank Conformity and of the new
insurance policy and such other documents in relation thereto;

5. To process and pay any fees pertaining to the said issuances, if any; and

6. To perform other acts and things necessary to be done in or about the premises as she
may deem best.

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 and authority including that of appointing a substitute, and
hereby ratifying and confirming all that my said attorney-in-fact or his substitute shall lawfully
do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 21st day of February
2020 here in the City of Makati, Philippines.

Principal
With ACCEPTANCE:

Attorney-in-Fact
 SIGNED IN THE PRESENCE OF:

_____________________ ______________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES

CITY OF MAKATI

BEFORE ME, this 21st day of February 2020 in the City of Makati, Philippines,
personally appeared the following persons with their corresponding identification cards:

Name I.D. Nos.

known to me to be the same persons who executed the foregoing instrument and they
acknowledged to me that the same is their free act and voluntary deed. This instrument,
consisting of two (2) pages including the page to which this acknowledgment is written refers to
a Special Power of Attorney.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on
the day and place above written.

Doc No. _____

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