SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, JUANA DELA CRUZ, of legal age, Filipino and with business address at ADDRESS do hereby
APPOINT, JUAN DELA CRUZ with ADDRESS to be my true and to do and perform the following:

1. To initiate and/or file in my behalf the application for the issuance and renewal of a Certificate
of Public Convenience (CPC) to operate a Transportation Network Vehicle Service (TNVS)
before the Land Transportation Franchising and Regulatory Board (LTFRB);

2. To appear and represent me in the preliminary conference, presentation of formal offer of

evidence, hearing or any proceedings in the LTFRB regarding the aforesaid application and/or
renewal.

3. To receive the decision as well as other notices and processes of the Honorable Board regarding
the aforementioned application and/or renewal; and

4. To perform any act or sign or deliver any document, and to perform such other matters as
required and may aid in the prompt consummation of the foregoing authority.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to
do and perform any and every act and things whatsoever requisite, necessary or proper to be done in and
about the premises as fully to all intents and purposes as I might or could lawfully do if personally present
and acting in person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-infact shall lawfully do
and cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _________ 201 ___ at
______________.

JUANA DELA CRUZ

Principal

SIGNED IN THE PRESENCE OF

__________________________ _______________________
Witness Witness

REPUBLIC OF THE PHILIPPINES)

CITY OF _____________________)S.S

Personally came and appeared before _____ day of _____ 201_ at ________________ with
Government Issued ID ___________________, known to me and to me known to be the same person
who executed the foregoing instrument, and acknowledgement that the same is his/her free act and
voluntary deed.

This instrument consisting of ___ pages, including this whereon the acknowledgement is written,
has been signed by the party and witnesses on each and every page thereof.

WITNESS MY HAND AND SEAL, at the place and on the date first above written.

Doc. No. _____

Page No. _____
Book No. _____
Series of _____