Thai I, ___________, Filipino, of legal age, single/married, resident of
____________ do hereby name, constitute and appoint _____________ of legal age, single/married, resident of _______________________ 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, to wit:
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever and 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-in-fact shall lawfully do or cause to done under and by vitue of these presents.
IN WITNESS WHEREOF, I hereby set my hands this ___ day of ____,
2020, at _____ (Insert place of execution of this Instrument).