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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _______________, of legal age, married, Filipino, with residence at


_________________________________, do hereby name, constitute, and appoint
________________, of legal age, widowed, Filipino, with residence at
________________________, to be my true and lawful attorney-in-fact, for me and
in my name, place and stead, to do the following acts and things, namely:

1. To exercise general control, supervision and management over my


________________________ membership and account, bearing Passbook
No.________;

2. To make, sign, seal, execute, and deliver contracts, documents,


agreements, and other writings of whatever nature or kind concerning
my interest and title over my ________ membership and account and to
use or convert the proceeds of the same to any purpose as she deems fit;

3. To acknowledge receipt of any document, check, or any other monetary


consideration in my name from ______;

4. To transact with _______ on cash or credit basis;

5. To apply for, process, and secure any kind of loans being granted by
___________ within my share capital;

6. To encash check/s of my loan proceeds, savings, and dividends;

7. To bind me solidarily with any other person in respect to loans and


other credit accommodations obtained through this Special Power of
Attorney;

8. To represent me in any meeting, and attend the General Assembly held


by _____________;

9. To do any and all acts as may be necessary to accomplish the purpose


of this representation.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


power and authority to do and perform all acts whatsoever requisite, and hereby
ratifying and confirming all that my said attorney-in-fact shall lawfully do or
cause to be done under and by virtue of these presents.

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IN WITNESS WHEREOF, I have hereunto set my hands this 29 th day of
March, 2022 at _______ City, Philippines.

___________________________
Principal

Conforme:

________________________
Attorney-in-fact

SIGNED IN THE PRESENCE OF

______________________________ ______________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES}


City of __________} S.S.

BEFORE ME, a Notary Public for and in the City of __________, this __ day
of March 2022, personally appeared ___________, who has satisfactorily proven
to me his identity through his Professional Regulation Commission ID with ID
No. ________, issued on _________, that he is the same person who presented the
foregoing Special Power of Attorney and he acknowledged to me that the same is
his free and voluntary act.

WITNESS MY HAND AND NOTARIAL SEAL this __ day of March,


2022 at ________ City, Philippines.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2022.

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