Claim CR-SPA

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SPECIAL POWER OF ATTORNEY

This SPA is executed by and infavor of:

I, ________________, single, of legal age, Filipino Citizen, with residence and postal
address at _______________________, do hereby NAME, CONSTITUTE, APPOINT and
AUTHORIZE __________________, of legal age, Filipino citizen, with residence and postal
address at ________________________, to be my true and lawful ATTORNEY-IN-FACT, for
me and in my name, behalf and stead to perform the following acts:

1. To PROCESS and CLAIM the Certificate of Registration (CR) and other pertinent
documents from ___________________ Bank;

2. To PERSONALLY APPEAR when my appearance is necessarily required;

3. To SIGN, SUBMIT, EXECUTE and DELIVER any and all documents or instruments
in connection with the exercise of the power herein granted to said attorney in fact; and

4. To PERFORM any other lawful act/s necessary to carry out the aforesaid transactions.

HEREBY GIVING and GRANTING unto my said ATTORNEY-IN-FACT full power


and authority whatsoever requisite or necessary or proper to be done in or about the premises, 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 shall do or cause to be done under and
by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of April, 2024 at
__________________, Philippines.

________________________
Principal
Driver’s Lic. No. A05-22-305677
Valid Until: 1-04-2027
Conforme:

_______________________
Atty-in-Fact

Witnesses:
_________________________ and __________________
Republic of the Philippines)
Done: in the City of _________________):S.S.
x-------------------------------------x

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public for and in the City of _____________, Philippines, this
nd
22 day of April, 2024 personally appeared the Principal and the same person who caused the
preparation of this document and acknowledged to me that the same is his voluntary act and
deed.

This instrument refers to a SPECIAL POWER OF ATTORNEY (SPA) consisting of


Two (2) Pages, including this page whereon this acknowledgment is written signed by the parties
on each and every page.

WITNESS MY HAND AND NOTARIAL SEAL.


Doc. No. ___________;
Page No. ___________;
Book No. ____________;
Series of 2024.

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