SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________, Filipino citizen, of legal age, single, with residence and postal
address at _____________ do hereby name, constitute, and appoint
_______________, likewise of legal age, single, with residence and
postal address at ___________________ 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, deeds, and
things, to wit:

1. To ask, demand, collect and receive all sums of money either in cash or check(s)
payable or owing to me or that may be issued in my name by way of proceeds of
sale and to encash the same with any bank or banking institution;

2. To open a bank account for and in my behalf;

3. To inquire, obtain information, receive documents, transact regarding my bank

accounts, outstanding loan obligations, transaction records and other bank
records.

4. To do and perform any and all acts which are related to the above powers.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority to do and perform each and every act which may be necessary or convenient,
in connection with any of the foregoing as fully to all intents and purposes as I might or
could lawfully do, if personally present and acting in person, HEREBY RATIFYING AND
CONFIRMING all that my said Attorney-in-Fact may also do or cause to be done under
and by virtue of these presents.
This special power of attorney shall be valid and subsisting and shall be remain in
full force and effect unless otherwise revoked or amended by me in writing.

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

_________, 20___ at the Province/City of ______________________________.

_____________________ __________________________
Attorney-in-Fact Principal

_____ No. _________ ________ No. ____________ Date of

Issue _______ Date of Issue _____________
Expiry Date _________ Expiry Date ______________

1
 SIGNED IN THE PRESENCE OF:

____________________________
____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

PROVINCE/CITY OF ____________) S.S.

BEFORE ME, a Notary Public for and in the _______________________,

Province of _____________________, this ______ day of _____________, 20_____,
personally appeared the above-named person/s, who has satisfactorily proven to me
his/her/their identity through his/her/their identifying documents written below
his/her/their name and signature, that they are the same person/s who executed and
voluntarily signed the foregoing Special Power of Attorney, duly signed by his/her/their
instrumental witnesses at the spaces herein provided which he/she/they acknowledged
to me as his/her/their free and voluntary act and deed.
The foregoing instrument relates to a Special Power of Attorney consisting of
________ (___) pages including the page on which this Acknowledgment is written, has
been signed on the left margin of each and every page by the parties and the
witnesses.

WITNESS MY HAND AND NOTARIAL SEAL, this ______ day of

_____________, 20_____, in the _______________________, Province of
_____________________.

NOTARY PUBLIC

Doc. No. __________;

Page No.__________;
Book No.__________;
Series of __________.