Special Power of Attorney

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________, of legal age, Filipino, single, and a resident of _______________,


Philippines, do hereby Name, Constitute and Appoint _______________, to be my true and
lawful Attorney-in-Fact, for me and in my name, place and stead to do and perform the
following acts and things, to wit:

1. To claim my _______________ from _______________;


2. To sign any document in relation to the same;
3. To do and perform all other acts which is necessary and proper to the foregoing
authority.

HEREBY GIVING AND GRANTING unto my attorney full power and authority to do and
perform any other acts and things whatsoever requisite and necessary to be done in and 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 shall lawfully do or cause
to be done by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my signature this ___ day of


_______________ at Cebu City, Philippines.

Principal Attorney-In-Fact
ID No. _______________ ID No. _______________

Signed in the presence of:

__________________________________ __________________________________

ACKNOWLEDGMENT

Republic of the Philippines )


City of Cebu ) SS

BEFORE ME, this _____ day of _______________ 2019 at Cebu City, Philippines,
personally appeared the above-named persons with their competent evidence of identity known
to be the same persons who executed the foregoing instrument and who acknowledged to me
that the same is their own free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No.: _____;


Page No. _____;
Book No. _____;
Series of 2019.

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