Republic of the Philippines)

City of Mandaue ) S.s

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, xxx of legal age, Filipino and residing at xxxx by these presents hereby NAME,
APPOINT and CONSTITUTE xxxx of legal age, Filipino, with address xxxx Philippines
to be my true and lawful ATTORNEY-IN-FACT, for us and in our name, place and
stead, to do and perform the following special powers, to wit:

1- To report to the Police and other law enforcement agencies the crime/s of xxxx
2- To file the case before the Office of the Prosecutor that has jurisdiction, with the
courts of law and to appear on my behalf during the proceedings pending before the
above-mentioned until the final termination of the case including appeals which
includes but not limited to conferences, hearings, mediations, preliminary
conference, pre-trial and all subsequent hearings/meetings requiring my attendance;
3- To discuss possibility of an amicable settlement, negotiate, enter into, conclude,
execute, sign, and deliver a compromise agreement as she/he may deem just and
equitable;
4- To submit the case for arbitration, simplify the issues, amend and/or agree to amend
the pleadings, obtain stipulations of facts and of documents to avoid unnecessary
proof, to limit the number of witnesses, and agree on such matters and do such
things as may aid in prompt disposition of the action.
5- To sign, execute deliver and receive documents, agreements and other writings of
whatsoever nature, kind and description and other legal papers pertaining thereto
necessary to carry out the foregoing authority including the Complaint, Verification,
Affidavit, Position Paper, the Opposition, Reply, Motions and many others; To file
petition or Appeal or motion/s before the Court of Appeals or the Supreme Court.
6- To do other acts relative thereto;
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary or proper 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 in person; and

HEREBY RATIFYING AND CONFIRMING all that our said Attorney-in-Fact shall
lawfully do and cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I affixed my signature this xxxx

in Mandaue City.

xxxx
 SIGNED IN THE PRESENCE OF:

________________________ _______________________

ACKNOWLEDGMENT

BEFORE ME, at the place and date above-mentioned personally appeared the
above mentioned who exhibited to me his ID below;

ID here

known to me and to me known to be the same person who executed the foregoing
Special Power of Attorney and has acknowledged to me that the execution of the same
is his own free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL ON THE DATE AND AT THE

PLACE FIRST ABOVE WRITTEN.

Doc No.:
Page No.:
Book No.:
Series of 202