SPECIAL POWER OF ATTORNEY

I, ___________________________, of legal age, Filipino, resident of

____________________________--, do hereby name, constitute, and appoint _____________________,
also of legal age, Filipino and residing at ____________________________- to be my true and lawful
attorney-in-fact, for me and in my name, place, and stead, to do and perform the following acts and things,
to wit:

1. To represent me in all matters pertaining in registration of my business located at BIR in securing

the COR as pre-requisite for local business permit;
2. To execute, acknowledge and sign all legal documents which I am required to make,
acknowledge, execute and sign;
3. To make sign, execute, and deliver documents and other writings of whatsoever nature, kind,
description, with any and as related to my business pertaining to the abovementioned powers and authority;
HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever
requisite or necessary or proper 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, with power of substitution and revocation, and hereby,
ratifying and confirming all that my said attorney or his substitute shall lawfully do or cause to be done under
and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this day of July 2019 in Mabalacat City,
Pampanga.

Conformity and acceptance:

Principal

Attorney–in–fact

Signed in the presence of:

__________________________ __________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

MABALACAT CITY PAMPANGA ) S.S.

BEFORE ME, this___ day of July 2019 in Mabalacat City, Pampanga, personally appeared
________________ whose identity is proven through her _____________________________ and
_____________________ whose identity is proven through his __________________made known to me to
be the same persons who executed the foregoing and acknowledged to me on this date that the same is
their free and voluntary act and deed. This instrument, pertaining to a SPECIAL POWER OF ATTORNEY
with acceptance, consisting of a single page was signed by the said persons and their respective witnesses.

Doc. No
Page No
Book No.
Series of 2014