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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________, with residence at _______________________,


hereby NAME, CONSTITUTE and APPOINT ___________________ to be our TRUE
and LAWFUL REPRESENTATIVE, in our name, place and stead, with full power and
authority to perform the following acts:

1. To locate, determine and identify any and all personal and/or real properties
registered in the name of our deceased father ____________; and

2. To file, process and secure any and all documents, information, pleadings, or
materials relative and necessary for the settlement of the labor case filed by
our client

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

IN WITNESS WHEREOF, we have hereunto set our hands this ___ day of
__________ 2010 in the City of ________________, Philippines.

________________________________
NAME

Conforme:

_______________________________

Signed in the presence of

_____________________________ __________________________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES}
} S. S.

BEFORE ME, this ___ day of _____________, 2010, in the City of __________,
personally appeared the following:

NAME CTC NO./PASSPORT NO. PLACE & DATE OF ISSUE

all known to me and known to be the same persons who executed the foregoing
instrument, and acknowledged to me that the same are their own free act and voluntary
deed. This instrument consists of two (2) pages including the page on which this
Acknowledgment is written and signed by the parties and their instrumental witnesses on
each and every page hereof.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial


seal the day, year and place above-written

Doc. No. ___


Page No. ___ NOTARY PUBLIC
Book No. ___
Series of 2010

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