REPUBLIC OF THE PHILIPPINES )

CITY OF _____________________ ) S.S.

SPECIAL POWER OF ATTORNEY

I, _____________________________________________, Filipino, of legal age, do
hereby name, constitute and appoint, _____________________________________________,
or any of their lawful and authorized representatives to be my true and lawful Attorneys-in-Fact,
for my name, place and stead, to perform the following acts and deeds, namely:

a) To apply for and process any and all applications, permits, licenses, consents,
authorities or such other approvals required or necessary using my Professional
Regulation Commission License No. _______________________________ valid until
_____________________________ for the issuance of a Certificate of Compliance for
____________________________________________________________________ in
compliance with Section 34 of Republic Act No. 8495;

b) To sign, execute and deliver any and all documents necessary in the said application, to
represent me before any government agency, instrumentality or local government unit,
including the and to do other acts and all of the purposes for which this authority is
hereby given.

HEREBY GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full power and
authority to perform every act, requisite or deed as may be necessary, legal and proper to carry
out the intent and purpose of this document, as I could lawfully do if personally present and
acting in person with full power of substitution and revocation, and hereby ratifying and
confirming all that my said attorney shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, we have hereunto affixed my signature this ______________

in ________________________ City, Philippines.

Manuel S. Ongchua
Affiant

SUBSCRIBED AND SWORN to before me this _______________, in

____________________________, affiant exhibiting to me his/her government-issued ID,
bearing his/her photograph and signature, to wit:

Name Government-Issued I.D. Date and Place of Issuance

NOTARY PUBLIC

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of ________.