SPECIAL POWER OF ATTORNEY

That I, ________________________, of legal age, married and a resident of

_____________________________, do hereby named, constituted and appointed Mr/Ms ------
-----------------------, likewise of legal age, married, with residence at
________________________________, to be my true and lawful Attorney-in-fact to do the
following acts and deeds:
1. To represent me for and in my behalf in the processing of documents for the issuance of
duplicate copy of OR/Certificate of Registration with Land Transportation Office (LTO) where it
has a hand over subject ;
2. To sign, execute and deliver any document necessary for the said application;
3. To demand, claim and receive the requested documents; and
4. To do all acts necessary to give effect to the foregoing authority.
Whereby giving and granting unto said attorney-in-fact, full power and authority
to perform each and every act and thing whatsoever requisite or necessary to be done in and
about the premises, as fully to all intents and purposes as I might or could do if personally
present and acting, and hereby ratifying and confirming all that my said attorney-in-fact shall
lawfully do or cause to be done and virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of

_______________________ 2018.

___________________
Principal

SIGNED IN THE PRESENCE OF:

_____________________________ ______________________________

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of ______;