SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I,_____________________________ , Filipino, of legal age, married, with postal

address at_____________________________________, do hereby name, constitute
and appoint __________________, with address at
____________________________________________ as my attorney-in-fact to
perform the following act on my behalf:

1. To represent me before the Social Security System, Philippine Health

Insurance Corporation, Home Development Mutual Fund, and Department of
Labor and Employment.
2. To perform all the necessary or proper to procure, transact, file tax returns
and sign documents as required by the agency.

HEREBY GIVING AND GRANTING unto said attorney-in-fact all power and authority to
do and perform the acts described above to be done in and about the premises, as fully
to all intents and purposes as I might or could do personally present and acting in
person, with full power of substitution of his person and revocation; and

HEREBY RATIFIYING AND CONFIRMING all that my said attorney or his substitutes
shall lawfully do or cause to be done and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hands at ___________, Philippines,

this _______ day of _________, 2022.

_______________________ ____________________
Principal Atty-in-fact

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPINES

, PHILIPPINES ) SS

Before me, on the date and place above written personally appeared the
following persons with competent evidence of their identity.

NAME ID DOCUMENT ISSUING AUTHORITY

Said persons acknowledge under oath to me under penalty of law that the whole
contents of this document are true and the same are there free and voluntary acts of
deeds.

Witness my hand and notarial seal.

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