Special Power of Attorney

Know all men by these presents:

I/We, ____________________________________________, Filipino, of legal age, single/married,

with legal residence at ______________________________________________
_____________________________________________________________________________, do hereby
name, constitute and appoint ____________________________________________ , of legal age,
single/married, with legal residence at ____________________________________
_____________________________________________________________________________ to be my
true and lawful attorney-in-fact, and in my name, place and stead, to do and perform te following acts, to wit:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite or necessary or proper to be done in and about
the premises as fully to all intents and purposes as I might lawfully do if personally present, with power of
substitution and revoca tion, and hereby ratifying and confirming all that my said attorney-in-fact shall lawfully
do or cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I/We hereby set my/our hand(s) this ______th day of ____________ at
__________________________________________________.
the Philippine Embassy in Buenos Aires, Argentina.

____________________________
Principal
Signed in the presence of:

_______________________________ _______________________________

SUBSCRIBED AND SWORN to before me this __________th day of __________________ at the

__________________________________________________.
Philippine Embassy in Buenos Aires, Argentina.

Fee Paid :
Page No. :
Book No. :
Document No.:
Service No. :
Receipt No. :
Series No. :