SPECIAL POWER OF ATTORNEY

I _______________________, hereby name, appoint and constitute _________________________ to

be my true and lawful attorney, to act on my behalf and in my name, to execute and perform all or
any of the following acts, deeds, matters and things, in connection with
_________________________, to wit:

Open, maintain, or close bank accounts (including, but not limited to checking accounts, savings
accounts, and certificates of deposit), brokerage accounts, and other similar accounts with financial
institutions. This power shall include the authority to conduct any business with any banking or
financial institution with respect to any of my accounts, including but not limited to making deposits
and withdrawals, obtaining bank statements, passbooks, drafts, money orders, warrants, and
certificates or vouchers payable to me by any person, firm, corporation, or political entity.

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

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _________ 2001, in
__________________.

____________________________

Conforme:

(Signature of Appointee)

Signed in the presence of:

__________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

MAKATI, METRO MANILA ) S.S.

BEFORE ME , a Notary Public for and in the __________, this ___________________, personally
appeared the following:

Name CTC No. Place Date

known to me and to me known to be the same person/s who executed the foregoing General Power
of Attorney consisting of __ pages including the page on which this Acknowledgment is written, and
who acknowledged to me that the same is their free and voluntary act and deed.

IN WITNESS WHEREOF, I have placed my hand and seal on the date and at the place first above-
written.

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Page No.:
Book No.:
Series of _____.