HQP-TMF-187

(V01, 04/2018)

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I/We, ________________________________, Filipino citizen/s, of

legal age, single/married/widow and with postal address at
___________________________________________________ have named,
constituted, and appointed and by these presents do hereby name, constitute
ute 81(n)-3(a)6(m)( )]TJ(_)6(_3(_)6( Ie)-3(, )-183(c)10(o)-3(n)-3(stit)8(u)-3(t)8(e)6( )]T.4N-3(_)-1/118)5646lipino
constituted, anmku__se31(w)12nmstal dd6y thet
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

__________________________) S.S.

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

City/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 Acknowledgement 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 _____________ City/Province of
___________________.

NOTARY PUBLIC

Doc. No. _______

Page No. _______
Book No. _______
Series of _______