SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________ married, of legal age, with residence and postal address at
__________________________________, do hereby APPOINT ____________________
married, likewise of legal age, with postal address at
____________________________________, as our true and legal representative to act for and
in our name and stead and to perform the following acts:
1. To represent me in my behalf in the processing of my business registration in the Bureau
of Internal Revenue, ____________;
2. To receive any and all documents related to the application and/or registration from the
concerned government agencies/offices;
3. To pay any and all such expenses that may be necessary to effect the application and/or
registration of the said business;
4. To sign and execute the necessary documents to carry into full effect the power herein
conferred and to do any other related and/or incidental task that may be needed to fully
and effectively carry out the authority herein conferred upon her.
HEREBY GRANTING unto our representative full powers and authority to execute and
perform every all and every act necessary to carry into effect the foregoing authority, as fully to
all intents and purposes as I might or could lawfully do if personally present, with full power of
substitution and revocation, and HEREBY APPROVING ALL that he may do by virtue hereof
with full right of substitution of his person and revocation of this instrument.

IN WITNESS WHEREOF, I HAVE HEREUNTO SET OUR HANDS THIS ____ DAY
OF _______________ 20__, AT PUERTO PRINCESA CITY, PALAWAN.

___________________ ______________________
(Name of Principal) (Name of Agent)

Republic of the Philippines )

City of Puerto Princesa, Palawan ) S.S

BEFORE ME, personally appeared:

Name CTC/Passport Number Date/Place Issued
______________________ ____________ _____________________
______________________ ____________ _____________________

Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.