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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________________________________________, of legal age, Filipino,


single / married / widow / widower, with permanent address at
___________________________________________________________, Philippines and presently
residing in Saudi Arabia, with postal address at
_________________________________________________, do hereby name, appoint and constitute
Mr./Ms. _______________________________________, likewise of legal age, single/married/widowed
and presently residing at ______________________________________________, Philippines as my
true and lawful attorney, for me and in my name, place and stead for my own use and benefit, to do any
or all of the following acts and things to wit:

1. To apply for the issuance of my Diploma, Transcript of Records, and other pertinent
documents from __________________________________________________________;

2. To cause the process the authentication of my said academic records with the proper
government agencies;

3. To sign, execute and deliver any document necessary for the said application;

4. To demand, claim and receive the requested documents; and

5. To do all acts necessary to give effect to the foregoing authority.

Whereby giving and granting unto said attorney, full power and authority to perform each and
every act and thing whatsoever requisite or necessary to be done in and about the premises, as fully to
all intents and purposes as I might or could do if personally present and acting, and hereby ratifying and
confirming all that my said attorney shall lawfully do or cause to be done and virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of


_______________________ 20____ in Jeddah, Kingdom of Saudi Arabia.

__________________________________
Signature of Principal

SIGNED IN THE PRESENCE OF:

__________________________________ __________________________________

Doc. no. : __________


Service no. : __________
Series of : __________
O.R. no. : __________
Date : __________

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