SPECIAL POWER OF ATTORNEY

 
KNOW ALL MEN BY THESE PRESENTS:
 
I, _______________________________, of legal age and with office address at
_____________________________________ do hereby constitute, name, and appoint,
___________________________. ,to be my true and in my name, place, and stead, do and
perform the following acts and things, to wit:
 
1. To represent, process, procure and secure for my application
for Tourist Visa Extension before the Bureau of Immigration
(BI);

2. To bear and present my passport and other supporting

documents for the purposes indicated above; and

3. To execute submit and receive documents and papers to

carry into effect the powers and authority granted herein.
 
I hereby grant and give unto my attorney-in-fact, ________________________ JR.
full power and authority to do and perform all and every act requisite or necessary to carry
into effect the foregoing authority and the other duties herein given as fully to all intents and
purposes as I might or could lawfully do if personally present. I hereby ratify and confirm all
that my attorney-in-fact shall lawfully do or cause to be done by virtue hereof.
 
IN WITNESS HEREOF, I affix my signature this _________ 2021 in the City of Makati
 
 
____________
Principal
 

Republic of the Philippines )

City of Paranaque ) S.S.
  
ACKNOWLEDGMENT
 
BEFORE ME, a Notary Public, for and in the City of Makati this __________ 2019
personally appeared ____________with his ____________and who is known to me and to
me known to be the same person who executed and signed this Special Power of Attorney
and acknowledged to me that the same is his own free and voluntary act and deed.
 
Witness my hand and seal on the date and place above written.
 
 
Doc. No.
Page No.
Book No.
Series of 2019.