SPECIAL POWER OF ATTORNEY

(for Passport Application of Minor Children)

KNOW ALL MEN BY THESE PRESENTS:

I/We, __________________________________, _________________ citizen(s) of legal age,

Name Nationality

single/married and with postal address at ___________________________________________, hereby

Address

appoint, name and constitute _____________________________________ of legal age, single/married,

Name(s) of Attorney-in-fact

________________ citizen, and a resident of _________________________________________________

Nationality Address of Attorney-in-fact

to be my true and lawful attorney-in-fact, to act in, manage and conduct all of my/our affairs, and on my/our
behalf, to do and execute all or any of the following acts, deeds and things to wit:
1. To represent me/us and act in my/our behalf in accomplishing and filing of the passport application/s of
my/our minor child/children in the Philippines, namely:

Name Age Date of Birth Place of Birth

2. To sign in my/our behalf all documents necessary for the acquisition of passport(s) of my/our
abovenamed child/children;
3. To receive the passport(s) and other related documents thereto; and
4. To do and perform any/all acts necessary for the faithful execution of the foregoing acts and things.

HEREBY GIVING AND GRANTING unto my/our said Attorney-in-fact full power and
authority whatsoever requisite or necessary or proper to be done in and about the premises as fully to all
intents and purposes as I/we might or could do if personally present, 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 those presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ________________ at the Consulate
General of the Republic of the Philippines in Vancouver, British Columbia, Canada.

Signature of Principal (1) Signature of Principal (2)

over printed name over printed name

Signed in the presence of:

Signature of Witness (1) Signature of Witness (2)

over printed name over printed name