You are on page 1of 1

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, RAYMOND DIAMZON DIZON widower, of legal age, with residence and postal address
at Zone 7 Lower Bulua, Cagayan De Oro City, Philippines do hereby APPOINT SIEGFRIED H.
TAVEROS Attorney-In-Fact, single, likewise of legal age, with postal address at Guadalupe,
Cebu City, Philippines as my true and legal representative to act for and in my name and
stead and to perform the following acts:

To act in my behalf for my request/application for my original University of


Cebu- Graduate School Official Transcript of Records and two (2) copies of
Certified True Copy of the same document duly Certified, Authenticated and
Validated (CAV) by the Commission on Higher Education (CHED).

HEREBY GRANTING unto my representative full power and authority to execute and
perform every act necessary to render effective the power to request, apply, sign
necessary forms and claim the said documents, as though I myself, have so performed it,
and HEREBY APPROVING ALL that he may do by virtue hereof with full right of
substitution of his person and revocation of this instrument.

IN WITNESS WHEREOF , WE HAVE HEREUNTO SET OUR HANDS THIS 6th DAY OF
APRIL 2019, AT CAGAYAN DE ORO CITY, PHILIPPINES.

RAYMOND D. DIZON SIEGFRIED H. TAVEROS


(Name of Principal) (Name of Agent /Attorney-In-Fact)

Signed in the presence of:

_____________________________ ___________________________________
( Witness ) ( Witness )

You might also like