Special Power of Attorney: Know All Men by These Presents

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _______________________________________________ of legal age, Filipino, and a resident of


(NAME OF PRINCIPAL)

___________________________________________________________________________ do hereby name,


(ADDRESS)

appoint, and constitute ___________________________________, ___________________________________,


(RELATIONSHIP TO ATTORNEY-IN-FACT) (NAME OF ATTORNEY-IN-FACT)

also of age, Filipino, and a resident of ___________________________________________________________,


(ADDRESS)

to be my true and lawful attorney to do and perform the following acts and things to wit:

1. To be the person to apply and request from the Department of Foreign Affairs to authenticate my

_____________________________________________________________________________________;

2. To make, sign, execute, deliver, and receive any other document/paper necessary to carry into effect this
autority;

3. In order to secure and guarantee the information, hereby attach a photocopy of my identification card;

HEREBY GIVING AND GRANTING unto said attorney-in-fact full powers and authority to do and perform
all and every act requisite or necessary to carry into effect the foregoing authority as fully to all intents and
purposes as I might or could lawfully do if personally present, with full powers of revocation and hereby ratifying
all that the said substitute shall lawfully do or cause to be done by virtue hereof.

IN WITNESS HEREOFF, I hereunto set my hand this ___ day of ___________ at _________________.

________________________________
Principal

ID No.______________________

________________________________
Attorney-in-Fact

ID No.______________________

REPUBLIC OF THE PHILIPPINES)


CITY OF )

SUBSCRIBED AND SWORN to be before me this ___ of ___________City of______________, affiant exhibiting
to his/her Identification No. ___________________

NOTARY PUBLIC

Doc. No. ___;


Page No. ___;
Book No. ___;
Series of

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