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Special Power of Attorney - Process LCR 4
Special Power of Attorney - Process LCR 4
I, , of legal age, Filipino, married and with address at Cogon, Poblacion, Lilo-
an, Cebu, Philippines, do hereby name, constitute, and appoint my brother , of legal
age, Filipino, married, and with address at San-Andres, Dajay, Surallah, South
Cotabato, Philippines, to be my true and lawful attorney for me and in my name,
place and stead, to do and perform the following acts to wit:
1. To process, file, submit documents, transact, pay, follow-up and claim the
result of my Application for the Correction of First Name at the Local Civil Registrar
of Surallah, South Cotabato particularly my FIRST NAME from;
HEREBY GIVING AND GRANTING unto the said attorney full power and
authority whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as we might or could lawfully do if
personally present, with power of substitution and revocation, and hereby, ratifying
and confirming all that my said attorney or his substitute shall lawfully do or cause
to be done under and by virtue of these presents.
ACKNOWLEDGEMENT
Republic of the Philippines )
City of Cebu..………………)ss.
BEFORE ME, this April 29, 2021 in the City of Cebu, Philippines, personally
appeared as proof of identity; known to me and to me known to be the same
person who executed and signed the foregoing Special Power of Attorney. Further,
he acknowledged to me that the same is his free act and voluntary deed.
WITNESS MY HAND AND SEAL, the date and place first above-written.
Doc. no. ________;
Page no.________;
Book no. __________;
Series of 2021.