SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THIS PRESENT:

That I, ________________ of legal age, with residence at _______________, by these presents, do

hereby NAME, CONSTITUTE AND APPOINT ____________________ , Filipino, of legal age, with
residence ____________________ to be my true and lawful Attorney/s-in-Fact, for me and in may name,
place and stead to do and perform all of any of the following:

1. To represent me, before the Department of Foreign Affairs and any of its authenticating
units, for the purpose of the Apostilization of the documents as follows, SPECIAL
POWER of ATTORNEY;

2. To make and receive payments, sign papers, execute any document and other writings of
whatever nature or kind of which needs my consent or authority, which may be required
in transactions regarding the said Apostilization, including the submission of and the
receiving of the above-mentioned documents after its Apostilization.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full powers and authority to do and
perform all or any acts requisite and/or necessary to carry into effect the foregoing authorities, as fully to
all intents and purpose as I might or could lawfully do, if personally present and acting in person, and
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.

IN WITNESS WHEREOF, I have hereunto affix my signature this _________________ day of

____________________.

_________________________

SIGNED IN THE PRESENCE OF:

_____________________ _____________________________

ACKNOWLEDGMENT
Republic of the Philippines)
City of __________ ) SS.

BEFORE ME, a Notary Public for and in the above jurisdiction, personally appeared this _____ day
of ____________________, 2024 , ___________________, presenting competent evidences of identity
__________________ _____________________, known to me to be the same persons who executed the
foregoing instrument as his own free and voluntary act and deed.

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

NOTARY PUBLIC

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SERIES of 2024