SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

We, _____________, Filipino, of legal age, married and resident of _______, ,

(single/married) do hereby appoint, name and constitute _____________, who is also of legal
age, Filipino, and a resident of _____________, Philippines, to be our true and lawful attorney-
in-fact for me and in my name, place and stead, to sign all the necessary documents, for and in
my behalf, for purposes of and in connection with the incorporation and operation of
_____________________, an entity which is in the process of incorporation with principal office
at _______________, and to exercise any and all acts of ownership in connection with my
stockholdings in said corporation, or in connection with any transaction with or involving the
said corporation, with full powers and authority to perform acts such as but not limited to the
sale, transfer, mortgage, assignment or conveyance of my stockholdings to any party, under such
terms and conditions or for such price or in such amount as my said attorney-in-fact may deem
fit; to waive for and in my behalf any rights or interests attendant to my stockholdings (e.g. pre-
emptive rights, etc.); to waive, condone, set-off, assign any and all liability of the corporation to
me or any of my claims against the corporation; to convert or exchange said liabilities/claims for
shares/equity/other property and/or to subscribe to additional stocks in such amounts and under
such terms as he may deem fit; to act as my proxy; to attend and represent me in any corporate
meetings, whether special or regular, and to vote for and in my behalf any and all shares
registered in my name as fully to all intents and purposes as I may lawfully do if present and
acting in person, and to do such other acts necessary or incidental or as a consequence of my
being a stockholder of the corporation.

HEREBY GIVING AND GRANTING unto my said attorney full power and authority
to make, sign, seal, execute and deliver contracts, documents, agreements and other writings of
whatever nature or kind, with any and all third persons, concerns, government agencies or
entities upon terms and conditions acceptable to the said attorney-in-fact and execute such other
documents as may be necessary for the implementation and furtherance of such power and
authority as provided herein and to do and perform all and every act requisite or necessary to
carry into effect the foregoing authorities as fully to all intents and purposes as I might or could
lawfully do if personally present, with full power of substitution and revocation, and hereby
ratifying and confirming all that my said attorney or his substitutes shall lawfully do, have done
or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____________

at _____________, Philippines.

PRINCIPAL

Accepted by:

ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:

__________________ __________________

(ACKNOWLEDGMENT)