Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, AAAAAA , Filipino, legal age, married and a resident of Roxas City,


Capiz, do hereby NAME, CONSTITUTE and APPOINT BBBBBBBB,
Filipino, legal age, married, and a resident of Lapaz, Iloilo City, to be my
true and lawful attorney-in-fact, for me and in my name, place and stand
and for my own benefit to do and perform all or any of the following acts
and things, namely:

1. To process the application for the correction of a clerical or


typographical error in the middle name of my daughter CCCCC
before the Local Civil Registrar of Ajuy, Iloilo and with any concerned
agencies of the Government of the Republic of the Philippines;

2. To pay any and all liabilities, cost and expenses required for these purposes;

3. To accept and receive any and all documents including all official communications from
the Local Civil Registrar of Ajuy, Iloilo and

4. To sign, execute, deliver and submit all documents and papers, and perform all acts may
be necessary and expedient for said purpose.

I AAAAAAAA , Filipino citizen, of legal age, married and a Roxas


City, Capiz, do hereby name, constitute, and appoint, BBBBB, of
legal age, married and a resident of Lapaz, Iloilo City, to process the
application for the correction of a clerical or typographical error in the
middle name of my daughter CCCCCCC before the Local Civil
Registrar of Ajuy, Iloilo or to any concere, with full power to do and
perform on my behalf any act and deed which I could legally do and
perform, and;

HEREBY GIVING AND GRANTING unto my said attorney-in-


fact full powers and authority to do and perform all and every act

1
requisite 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, and hereby ratifying and confirming all that my said attorney-
in-fact or her shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this


____ day of ___________ 2018 in Makati City, Philippines.
th

_______________________________
JUAN DELA CRUZ

Signed in the presence of:

________________________ ________________________

Republic of the Philippines )


City of Makati ) S.S.

ACKNOWLEDGMENT

BEFORE ME, this _____ day of February 2018 in the City of


Makati, Philippines, personally appeared JUAN DELA CRUZ, with ID
No. ______________ known to me to be the same person who
executed the foregoing Special Power of Attorney, and she
acknowledged that the same is her free and voluntary act and deed.

WITNESS MY HAND SEAL, at the place and on the date above


written.

2
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2018.

You might also like