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SPECIAL POWER OF ATTORNEY

I, , of legal age, Filipino Citizen, married and a resident of do hereby NAME,


APPOINT and CONSTITUTE, ., of legal age, Filipino Citizen, single and a resident of to
be my true and lawful Attorney-in-fact, for me and in my name, place and stead to
perform the following specific acts and things to wit:

HEREBY GRANTING AND GIVING, unto my Attorney-in-fact full power and


authority to do whatsoever requisite or necessary or proper to be done in or about the
premises as fully to all intents and purposes which I could do if personally present and
hereby ratifying and confirming all that my said attorneys shall do or cause to be done
under and by virtue of these presents.
IN WITNESS WHEREOF, we have hereunto set our hands this 14th day of May
2015 in Baguio City, Philippines.
Principal
With our Conformity:
Attorney-in-fact
Signed
in
the
presence
________________________________

of:

_________________________________________

and

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
)S.S
BEFORE ME, a Notary Public for and in Baguio City personally appeared the
above-named parties, personally known by the undersigned Notary Public. They
presented this integrally complete instrument and represented to me that the signature
on the instrument were voluntary affixed by them for the purpose stated, declaring that
they executed this instrument as their free and voluntary act and deed.
This 14th day of May 2015 at Baguio City Philippines.