You are on page 1of 1

Republic of the Philippines

Province of Quirino
Municipality of Diffun

SPECIAL POWER OF ATTORNEY


I, MA. KAREN A. BALDONADO-GUILLERMO, married, of legal age and with postal
address at Andres Bonifacio, Diffun, Quirino , do hereby name, appoint and constitute,
my husband, MARK LOUIS T. GUILLERMO to be my true and lawful attorney, to act on my
behalf and to receive my Philippine Passport before DFA Tuguegarao.

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 12TH day ofApril 2018, in
Diffun, Quirino.

Atty. MA. KAREN A. BALDONADO-GUILLERMO

Conforme:

MARK LOUIS T. GUILLERMO


Attorney-in-fact
ACKNOWLEDGMENT

Republic of the Philippines


Province of_____________
Municipality of ________

BEFORE ME , a Notary Public for and in the Municipality of Diffun this 12Th day
of April, 2018 personally appeared the following:

Name I.D No.

MARK LOUIS T. GUILLERMO


MA. KARENA. BALDONADO-GUILLERMO
Known to me and to me known to be the same person/s who executed the
foregoing Special Power of Attorney consisting of __page(s) 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.

You might also like