SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________, Filipino, of legal age, with address at

__________________________, do hereby name, appoint and constitute the
law firm ________________ and/or any of its lawyers, with office address at
_____________________________, to be my true and lawful attorney, to act for
and on its behalf, to do and execute all or any of the following acts, deeds and
things to wit:

1. To appear and represent me in (case number) pending before the

(court + branch), entitled “(title of the case)”, make admissions therein which, in
their judgment, may help in accomplishing the objectives of pre-trial as provided
in Rule 18 of the Rules of Court and/or in the mediation in the above entitled
case, to consider therein to wit:

a. plea bargaining;

b. the possibility of an amicable settlement or a submission to

mediation or arbitration;

c. the simplification of the issues;

d. the possibility of obtaining stipulations or admissions of facts and of

documents totally or partially to avoid unnecessary proof;

e. limitation of the number of witnesses;

f. the advisability of a preliminary reference of issues to a

Commissioner; and

g. such other matters as may aid in the prompt disposition of the case.

HEREBY GIVING AND GRANTING unto said attorney full power and
whatsoever requisite or necessary or proper to be done in or about the premises,
as fully to all intents and purposes as I might could lawfully do if personally
present and hereby ratifying and confirming all that my said attorney shall do or
cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I hereunto sign this instrument on

_________________ at __________________.

(name of principal)
 2

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

________________ ) S.S.

BEFORE ME, a Notary Public for and in ___________________, this

______________ personally appeared ________________, exhibiting to me her
________________ expiring on ________________, known to me to be the
same person who executed the foregoing Special Power of Attorney which she
acknowledged before me as her free and voluntary act and deed.

WITNESS MY HAND AND SEAL, this ________________ at

________________.

Doc. No. _______;

Book No. _______;
Page No. _______;
Series of 2019.