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That we, JOHN KYREL PEROTE RONDINA, JOHN LLYOD FERNANDEZ BUSTALINIO, ROSE LANIE MAE
LEMO ALOMBRO, REYAN J VELASCO OMAMBAC, JANELL MAE KENTILITISCA AMANTE, AIVAN PEROTE
PAQUIBOT, all of legal age, Filipino, single, a resident of Talenceras, Tubigon, Bohol, do hereby name,
constitute and appoint MARK JAY PLATEROS, likewise of legal age, Filipino, single, and with residential
address at Talenceras, Tubigon, Bohol, to be our true and lawful Attorney-in-Fact, for us and in our
name, place and stead to do and perform all or any of the following acts:
2. To submit necessary requirements, pay required fees and sign any and all documents relating to
my request for the release of birth certificate, as well as to do any and all acts in order to
accomplish the foretasted acts and deeds.
HEREBY GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full powers and authority to do
and perform all and every act and thing requisite or necessary to carry into effect the foregoing
authority, as fully to all intents and purposes I might or could lawfully do if personally present, with full
power of substitution and revocation, and hereby ratifying and confirming all that our said attorney- in-
fact or his substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, WE have hereunto affixed our signature this 27th of November 2023 at
Tubigon, Philippines.
____________________________ ____________________________
Witness Witness
ACKNOWLEDGMENT
BEFORE ME, on the date and place above written, personally appeared JOHN KYREL PEROTE RONDINA,
JOHN LLYOD FERNANDEZ BUSTALINIO, ROSE LANIE MAE LEMO ALOMBRO, REYAN J VELASCO
OMAMBAC, JANELL MAE KENTILITISCA AMANTE, AIVAN PEROTE PAQUIBOT, presenting their
competent evidence of identity:
they acknowledged under oath to me under penalty of law, that the whole contents therein are true
and that the same is her free and voluntary act and deed.
This instrument which consist of two (2) pages including this page where acknowledgement is
written has been signed on all pages by the principal and the witnesses.
WITNESS MY HAND AND SEAL on the date and place above written.