SPECIAL POWER OF ATTORNEY

I _____________________, of legal age, widow, Filipino, and a resident of -

______________________________ Philippines, hereby name, appoint and constitute my legitimate
daughter, ssss, of legal age, single, Filipino and a resident of ____________________________, Philippines,
to be my true and lawful attorney, to act on my behalf and in my name, to execute and perform all or any of
the required acts, deeds, matters and things, in connection with the application of and processing of claims,
death benefits, proceeds, and other benefits in connection with the passing of my husband, -
________________ on (date) at (place):

1. Department of Foreign Affairs;

2. Overseas Workers Welfare Administration;
3. Social Security System;
4. Home Development Mutual Fund (Pag-IBIG); and
1. St. Peter Life Plan.

HEREBY GIVING AND GRANTING unto my said attorney full powers and authority to do and perform all and
every act requisite or necessary to carry into effect the foregoing limited powers, 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 substitute shall lawfully do or cause to be
done by virtue hereof.

 IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _________ 2020, in
__________________.
 
                                                             ____________________________
NAME (PRINCIPAL)

Conforme:

_________________
sss
(Attorney-in-Fact)
 
 
Signed in the presence of:
__________________________           __________________________
 
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
) S.S.

      BEFORE ME , a Notary Public for and in the __________, this ___________________, personally
appeared:

   Name                      Passport No.                Validity

 
known to me and to me known to be the same person who executed the foregoing Special Power of Attorney
consisting of 1 page including the page on which this Acknowledgment is written, and who acknowledged to
me that the same is their free and voluntary act and deed.

        IN WITNESS WHEREOF, I have placed my hand and seal on the date and at the place first above-
written.
 
Doc. No.:
Page No.:
Book No.:
Series of 2020