SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ____________________,Filipino, of legal age, and resident of _________________

Philippines, by these presents, do hereby make, constitute and appoint, ____________________,
Filipino, of legal age, single and a resident of _____________________, Philippines, to be my true
and lawful attorney-in-fact, for my name, place and stead, to do the following acts and deeds, to wit:

1. To FILE and PROCESS before the Bureau of Internal Revenue (BIR) my request for change
of line of business and business address relative to my business, “___________________
under Certificate of Registration No. _______________ issued last _______________ with
TIN: __________________;

2. To RECEIVE and SIGN any other and all documents, including the PAYMENT of all lawful
fees, in order to carry out the powers herein vested and to represent me in any agency or
instrumentality, whether government or private, necessary for the accomplishment of the
above-said transaction; and

3. To do any other acts and deeds related to the foregoing authority.

HEREBY GRANTING unto _______________, the power and authority to execute and
perform every act necessary to render effective the power herein vested as though we have so
performed it and HEREBY APPROVING ALL that he may do by virtue hereof with full right of
substitution of her person and revocation of this instrument.

IN WITNESS WHEREOF, We have hereunto set our hands this

_______________________ in the _________________, Philippines.

__________________________
Principal
ID No.___________
Issued by: ______________
With my conformity:

__________________
Attorney-in-Fact

SIGNED IN THE PRESENCE OF: 

______________________   ____________________
Witness Witness

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ____________ ) S.S.

BEFORE ME, a Notary Public in the ______________ this _____________________,

personally appeared, ___________________ with his competent proof of identity previously written,
known to me to be the same persons who executed this instrument and acknowledged to me that
the same is her free act and deed.

WITNESS MY HAND AND SEAL on the date and place first written above.

Doc. No._____;
Page No. _____;
Book No.______;
Series of 2021