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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________________________________, of legal age, Filipino citizen,


single/married to ______________________________________________________________
with residence at
___________________________________________________________________________ by
these presents do hereby name, constitute and appoint,
_______________________________________, of legal age, Filipino citizen, with residence at
________________________________________________________________, as my legal
representative and attorney-in-fact for me and stead to do and perform the following acts and
deeds, to wit:
______________________________________________________________________________

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and
authority to do and perform any and every act requisite and necessary to be done in and about the
premises as fully to all intents and purposes as I might or could lawfully do if personally present.

HEREBY RATIFYING AND CONFIRMING all that said attorney-in-fact may also
do or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, we have signed on this__________________________ at


Guagua, Pampanga.

________________________________
Principal
Identification Document_______________________________

Conforme: ______________________
Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

_________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


GUAGUA, PAMPANGA ) S.S.

BEFORE ME, personally appeared ____________________________ with his/her


Identification Document stated below his/her name, known to me to be the same person who
executed this Special Power of Attorney, signed by the parties and witnesses, and acknowledged
to me that the same is the product of their voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL, on this


________________________at Guagua, Pampanga.

Doc. No._______
Page No._______
Book No. ______
Series of 2020.

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