SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY VIRTUE BY THESE PRESENT:

That I, PRINCIPAL’s NAME, of legal age, Filipino and residence address at

______________________ do hereby name and constitute ATTORNEY-IN-FACT’s
NAME likewise of legal age, Filipino, with residence address at
_________________________ to be my true and lawful ATTORNEY-IN-FACT, for and
in my name, place and stead, to execute and perform any of the following acts, to wit:

“xxx”

HEREBY GIVING AND GRANTING all that said ATTORNEY-IN-FACT shall do or

cause to be done under premises.

IN WITTNESS WHEREOFF, we have hereunto set my hand this ______day of

_________________ in _____________________________.

PRINCIPAL ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:

_______________________ ______________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

Xxx )S.S.
X----------------------------------------------------------X

BEFORE ME, a notary for and in the _______________, personally appeared:

Name Competent Evidence of Identity Date/Place Issued

known to me and to me known to be the same person/s who executed the foregoing
Special Power of Attorney 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 ___________.