Republic of the Philippines )

City of ) S.S.

SPECIAL POWER OF ATTORNEY

KNOWN ALL MEN BY THESE PRESENTS:

I, , hereby authorize , to be
my attorney-in-fact who is authorized to do the following:

I am authorizing my attorney-in-fact to do all acts necessary to carry out the tasks as if I were personally
present.
IN WITNESS WHEREOF, I have hereunto set my hand at _______________________,
Philippines, on this ____ day of _____________ , 20__.

_______________________
Principal

ACKNOWLEDGEMENT

Before me personally appeared:

Name ID Expiry

Known to me and to me known to be the same person who executed the foregoing instrument and
acknowledged to me that the same is his free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.

NOTARY PUBLIC
Doc. No.: _____________:
Page No.: _____________:
Book No.: _____________:
Series of 20__.