SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, __________________, of legal age, (Nationality), married, and a resident of

_________________________ appoint, name and constitute my wife, __________________, of
legal age, Filipino, as my true and lawful attorney and representative to do any and all of the following
acts and deeds:

1.) To act on my behalf in all matters pertaining to my application for ______________________.

2.) To do all acts necessary for these purposes including the authority to represent, receive/claim any
documents from the Bureau of Immigration and make, sign and execute, for and in my behalf, any
documents which may be necessary for the release of these documents, for and in my behalf.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to
do or perform any and all other acts and things necessary and proper to be done in and about the
premises as fully to all intents and purposes as I could lawfully do if personally present, and HEREBY
RATIFYING AND CONFIRMING all that my said attorney-in-fact or her duly appointed substitute,
representative or staff shall lawfully do or cause to be done in my behalf by virtue of these presents,
with full power of substitution.

IN WITNESS WHEREOF, I hereby set my hand this _____ day of November 2018 in
______________________, Philippines.

__________________ __________________
Attorney-In-Fact Principal