THAT I, 

(PRINCIPAL’S COMPLETE NAME), of legal age, Filipino, and a resident

of ________(Complete address)__________________________, Philippines, do hereby NAME,
CONSTITUTE and APPOINT (ATTORNEY-IN-FACT’S OR AGENT’S NAME), also of legal age,
Filipino, and a resident of ________________(Complete address)______________________,
Philippines, to be my true and lawful Attorney-in-fact, for me and in my name, place and stead, to do
and perform all or any of the following acts and deeds, to wit:

1. (Specific acts to be undertaken by the Attorney-in-fact or agent, the more specific the task is
like to transfer a property involving an Estate, the better. You can describe the things
involved or the process to be done);
2. To represent me with any person, agency and/or office with regards to (refer to  no. 1), or
any acts in furtherance thereof;
3. To make, sign, execute, deliver or receive any documents, and give payments in relation
to (the acts needed to be done);
4. To delegate in whole or in part any or all of the powers herein granted or conferred, by
means of an instrument in writing, in favor of any third person or persons whom my said
attorney-in-fact may select; (add this only if you want to give power to your agent to re-
delegate the task to others.)
5. And, to do all other acts necessary to pursue the foregoing authority. (The catch all phrase
you add if you feel there is something you can miss out)
          HEREBY GIVING AND GRANTING, unto said Attorney-in-fact full power and authority
necessary or proper to be done in and about the premises, as fully to all intents and purposes as I
might or lawfully could do, if personally present, hereby, ratifying and confirming all my said attorney-
in-fact shall lawfully do or cause to be done under and by virtue of these presents.

      IN WITNESS WHEREOF, I have hereunto affix my signature

this (Date), at (City/Municipality/Province), Philippines.

                    (Signed)JUAN DELA CRUZ)                                    (Signed)JUANA DELA CRUZ)

                            Principal                                                                                 Attorney-in-
fact

                    (Insert Gov’t issued ID No. Here)                                 (Insert Gov’t issued ID No.

Here)

                                                                  Signed in the presence of:

(complete name of witness and signature)                    (complete name of witness and signature)

                                                                 A C K N O W L E D G M E N T

REPUBLIC OF THE PHILIPPINES)