KNOW ALL MEN BY THESE PRESENTS: That I, _____________________________, of legal age, Filipino, ____________ (civil status) and presently residing at ________________________________________, have named, constituted, appointed and by these presents do hereby name, constitute and appoint ______________________________, of legal age, Filipino, _________(civil status), and presently residing at ___________________________________________, to be my true and lawful attorney-in-fact, for me and in my name, place and stead, to do and perform all or any of the following acts and deeds: ° ° ° ° ° ° ° GIVING AND GRANTING unto said attorney-in-fact full power and authority to do and perform every act whatsoever and necessary to be done in and about the premises, as fully to all intents and purposes as I might or could do if personally present, hereby ratifying and confirming all that my said attorney-in-fact shall lawfully do or cause to be done by virtue of these presents. IN WITNESS WHEREOF, I have hereunto set my hand this ________________ 20___, at Geneva, Switzerland.

_________________________ Affiant Signed in the presence of: __________________________. __________________________.

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