You are on page 1of 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I/WE ___________________________, Filipino citizen/s of legal age,


single/married, with residence and postal address at
_______________________________________ do hereby name, constitute, and
appoint and by these presents do hereby named, constituted and appointed
_____________________ likewise of legal age, single/married/widow and with
postal address at __________________________ to be my own and lawful Attorney-in-
Fact, for me and in my name, place and stead, to do and perform any and all of the
foregoing acts and things, namely:

1. To request, receive/claim any document from the Securities and Exchange


Commission, including but not limited to the Articles of Incorporation of
_______________________;

2. To request, receive/claim any document from _________________ Law Office


any document pertaining to the Incorporation of _________________;

3. To make, sign and execute, for and in my behalf, any document, which may be
necessary for the release of the said document/s;

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and


authority to do and perform any and every act thing whatsoever required and necessary
to be done as I might or could do, I personally present and acting in person, HEREBY
RATIFYING AND CONFIRMING all that my said Attorney-in-Fact may also do or cause to
be done under and by virtue of these presents..

In witness whereof, I hereunto signed my name


this ______________________________.

__________________ __________________

Principal Attorney-in-fact

Signed in the presence of:

________________________ ________________________

ACKNOWLEDGMENT

Republic of the Philippines )


City of Panabo ) S.S
 

BEFORE ME, personally appeared:


            
      Name                Competent Evidence of Identity           Date/Place Issued

   
 
Known to me and to me known to be the same persons who executed the
foregoing instrument and acknowledged to me that the same is their free and voluntary
act and deed.

WITNESS MY HAND AND SEAL, on the date and place first above written.

                                                                                                              

 
Doc. No.______;
Page No. _____;
Book No.______;
Series of 20___.
 

You might also like