SPECIAL POWER OF ATTORNEY

I, ______________________________________________________________, of legal age,

Filipino, and with address at ________________________
_____________________________________________________________________________, after
being sworn in accordance with law, hereby state:

1. I hereby name, constitute and appoint any of the following:

a.__________________________________________ with the address at

_________________________________________________, Philippines, to be my
lawful attorney-in-fact, for and in my name, place and stead, to do and perform all or
any of the following acts, to wit:
b.__________________________________________ with the address at
_________________________________________________, Philippines, to be my
lawful attorney-in-fact, for and in my name, place and stead, to do and perform all or
any of the following acts, to wit:
c.__________________________________________ with the address at
_________________________________________________, Philippines, to be my
lawful attorney-in-fact, for and in my name, place and stead, to do and perform all or
any of the following acts, to wit:

1.1. Appear and act, for and on my behalf, before any office of the Land Transportation
Franchising and Regulatory Board ("LTFRB"), the relevant courts and/or government agencies,
such as the relevant offices of the Bureau of Internal Revenue, the Department of Trade and
Industry, National Bureau of Investigation, in all stages of or in connection with my application for
a Certificate of Public Convenience ("CPC") and/or Provisional Authority to operate a
Transportation Network Vehicle Service ("TNVS") pursuant to LTFRB regulations
("Application"), with full power to secure, identify and authenticate all my documentary submissions
to said offices on the basis either of their personal knowledge or authentic records.

1.2. Appear and act, for and on my behalf, in any other proceedings before any office of the
LTFRB, the relevant courts and/or government agencies, in connection with any CPC or Provisional
Authority as may be issued by the LTFRB in my favor.

1.3. To obtain, execute, sign, subscribe to and/or deliver from/to any office of the LTFRB
or such other relevant government agencies, as may be appropriate, for and on my behalf, any and
all forms, communication, information, documents, agreements or contracts, pleadings, affidavits
and/or verifications and certifications, in support of the Application or in connection with any CPC
or Provisional Authority as may be issued in my favor, including but not limited to my CPC
Application Form, Motion for Provisional Authority, Operator's Data Sheet, List of Vehicles and
Drivers, and Statement of Financial Capability Form.

1.4. To cause the registration and/or accreditation, as may be required, of any of my drivers
and/or vehicles in connection with the Application or Motion for Provisional Authority, or the
renewal of said registration and/or accreditation.

1.5. To obtain, on my behalf or those of my drivers and/or vehicles, passenger accident

insurance or such other insurance, as may be required by law, whether from LTFRB-accredited
insurance providers or otherwise, and to allow these providers to publish and/or disclose
information that I have provided as may be necessary or proper in connection with the processing
and issuance of the insurance policy.

1.6. To establish and conduct, for and on my behalf, driver's training program for my
drivers, as may be required by LTFRB regulations.

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 1.7 To process and provide such information to any office of the LTFRB or other relevant
government agency, as may be required by said agencies, the applicable regulations and/or under
Philippine laws, including but not limited to personal information or data that I have provided to
USI, its affiliates or other related parties, whether electronically or otherwise, or whether through
the Uber technology application ("Uber App") or otherwise, and regardless of when they were
provided by me.

1.8. To apply for authority with the relevant airport management to enable me and
my drivers to provide transportation services to and from airports.

1.9. To cause the registration or re-classification of the registration of my vehicles

with the Land Transportation Office, as may be required.

1.10. To deliver, pay and/or advance, on my behalf any amounts that may be
assessed by any office of the LTFRB or other relevant government agency in connection
with the Application or Motion for Provisional Authority or with securing any necessary
documents in relation thereto, and any other fees payable to any office of the LTFRB or
such government agency.

1.11. To receive from any office of the LTFRB or other relevant government
agency any communications, notices, orders or resolutions in relation to the Application,
the CPC and/or Provisional Authority including the originals of the CPC and the
Provisional Authority, documents necessary to support the Application and official receipts
for any payments made.

1.12. To perform and discharge any and all acts necessary and expedient to protect
and defend my interests, such as those in relation to the Application and/or the CPC or
Provisional Authority as may be issued by the LTFRB in my favor and such other matters
that relate to my status as a TNVS, including the renewal of or any amendments to my CPC,
Provisional Authority, the list of accredited drivers and vehicles as required under LTFRB
regulations, and/or of the documents submitted in support of the Application.

1.13. In addition to the BIR-registered official receipts that I am required to issue

to riders, to issue on my behalf (whether by USI itself or through its affiliates, related
parties or appointed agents) acknowledgement receipts by email for payments made by
riders for the transportation service rendered by me or my drivers.

1.14. To process and disclose to USI's affiliates, related parties or any third party
information that I have provided, including but not limited to personal information or data
that I have provided to USI, whether electronically or otherwise, or whether through the
Uber App or otherwise, and regardless of when they were provided by me, as may be
necessary or appropriate to implement the foregoing authority and/or in connection with
my acting as an accredited TNVS of USI.

2. The foregoing power and authority may be exercised and performed by said attorneys-in
fact separately and individually. I, however, withhold from them the authority to receive summons
on my behalf.

3. I hereby grant unto said attorneys-in-fact full power and authority to do and perform any
all other acts and things necessary and proper in connection with the implementation of the foregoing
authority, including the power to engage the services of a third party to perform any of the powers
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granted herein, as fully to all intents and purposes as I might or could lawfully do if personally present,
except if such acts are adverse to and will prejudice the rights and interests of said attorneys-in-fact,
and/or any of their officers and employees, including their affiliates and related parties. I hereby
ratify and confirm all that said attorneys-in-fact shall lawfully do or cause to be done or shall have
lawfully done or have caused to be done in accordance with the foregoing authority.

4. I hereby recognize that said attorneys-in-fact are independent entities/individuals. They

have agreed to assist me in connection with the activities described above solely for the purpose
of and in connection with my Application and my Motion for Provisional Authority. I further
recognize and agree that the authority herein granted shall not be deemed to create any joint
venture, joint enterprise, partnership, agency, employment or other relationships between myself
and said attorneys-in-fact except such agency relationship in connection with the limited purposes
stated above. The attorneys-in-fact shall have no right to enter into contracts on my behalf, to
legally bind and/or to incur debt or any liability or obligation on my behalf, or to otherwise be
involved in my operations as a TNVS or in the use, enjoyment or exercise of any CPC or
Provisional Authority as may be issued in my favor.

5. I will defend, indemnify and keep said attorneys-in-fact, their directors, officers,
employees, partners, associates and/or agents free and harmless from and against any and all
liabilities, obligations, actions, judgments, suits, proceedings, claims, demands, losses, damages,
costs, expenses, deficiencies and/or disbursements of any kind or nature whatsoever (including,
without limitation, all costs and expenses incurred in disputing or defending any of the foregoing
on a full indemnity basis) arising from, in connection with and in relation to the information and
documents I have provided in support of the Application or Motion for Provisional Authority or
in connection with the use, enjoyment or exercise of any CPC or Provisional Authority as may be
issued in my favor.

IN WITNESS WHEREOF, I have hereunto signed these presents on this ___ day of
_______________ 201_.

___________________________
Signature over print name

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 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ______________ ) ss.

BEFORE ME, a Notary Public for and in the city named above, personally appeared:

Competent Evidence of Identity Community Tax Certificate

Type of ID ID Number and Number Date/Place
Expiry Date (if Issued
Affiant applicable)
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executed this Special Power of Attorney, who made oath to the truth thereof, and he / she
acknowledged to me that the same was his / her free and voluntary act.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and at the place indicated above.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 201_.