SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ----------------, of legal age, single, Filipino Citizen, with address at -----------------------, do

hereby appoint, APPOINT and DESIGNATE ------------------, likewise of legal age, with with same
address, as my true and legal representative to act for and in my name and stead and to perform the
following acts:

1. To bring or import my dog to the Philippines from the U.S. specifically described
as follows:

Species: Dog
Breed: Maltese Poodle
Sex: Male
Color: White
Age: 15 months
Name of owner: ----------------------

2. To use or present to legitimate authorities, the documents necessary or relative to

the one-time importation of my dog, including but not limited to Bureau of Animal Industry SPS
Import Clearance, USDA Certificate, Affidavit of Undertaking, Vaccination and Deworming
records, photographs, pet passports, or any other document required for this purpose;

3. HEREBY GRANTING unto my representative full power and authority to

execute and perform every act necessary to render effective the power to sell the foregoing
properties, as though I, have so performed it, and HEREBY APPROVING ALL that she may
do by virtue hereof with full right of substitution of his person and revocation of this
instrument.

4. I fully understand and agree that any third party who is given a copy of this Power
of Attorney may act relying on it. I also agree that revocation of this Power of Attorney is
effective to a third party only when they receive a receipt of actual notice by the third party. If
due to reliance on the Power of Attorney, a third party suffers any loss, I agree to pay for any
third party loss.

IN WITNESS WHEREOF, WE have hereunto affixed our signature this ______ day

of ____________________, 2022 at ________________, Philippines.

____________________________
----------------------------

ACKNOWLEDGMENT

Republic of the Philippines)

_____________________) S.S.

BEFORE ME, a Notary Public, for and in ____________, this _______ day of
_________________________ affiant personally appeared preseting his PH Passport with no
-------------, known to me to be the same person/s who executed the foregoing instrument and
who acknowledged to me that the same is their free and voluntary act and deed.

Doc. No. _____; NOTARY PUBLIC

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