I, _____________________, of legal age, Filipino with address at
_____________________________ do hereby, APPOINT, NAME, DESIGNATE, CONSTITUTE, _______________________________________ with address at __________________________________________________, to be my true and lawful ATTORNEY-IN-FACT, and for that purpose, in my name and in my behalf, to do and perform all or any of the following acts, deeds, and things, to wit:
1. To procure the Certificate of Registration 2303 of
___________________ from the __________________________;
2. To deal directly with said office in relation to the procurement of
such certificate; and
3. To sign and receive any necessary documents pertaining to the
above-mentioned procurement of Certificate of Registration.
HEREBY GIVING AND GRANTING unto my said attorney in fact full
power and authority to do and perform all 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 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 thereof. IN WITNESS WHEREOF, I have hereunto set my hand this ________________ at ___________________.
_________________________
Grantor
Page 1 of 2 ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
____________________________ ) S.S.
BEFORE ME, this __________________, in ______________________
personally appeared:
Name Type of ID ID No.
Known to me and to me known to be the same person who
executed/ witnessed the foregoing SPECIAL POWER OF ATTORNEY, consisting of two (2) pages, including the page where this acknowledgement is written, and they acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL on ____________________, in