SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, [Mr]/[Mrs]/[Miss]_____________________, of legal age, Filipino, [single]/[married] and a
resident of _________________________________________, Philippines, do hereby name,
constitute and appoint [Mr]/[Mrs]/[Miss]____________________________, of legal age, Filipino,
[single]/[married] and a resident of ______________________________________, Philippines
be my true and lawful attorney in-fact to act, for and in my stead, to do and perform the following
acts deeds and things, to wit:
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do
and perform any and every act, and thing 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-in-fact shall lawfully do or
cause to be done by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this _______________ at
__________________________, Philippines .

_______________________
Principal
SIGNED IN THE PRESENCE OF :
___________________ and ________________

ACKNOWLEDGMENT