SPECIAL POWER OF ATTORNEY

I, _____________________________________________, of legal age, __________________ with

address at __________________________________________________________________ do hereby
authorize Alfonso S. Francisco III, married, Filipino with residence address at 2314 Malaya St.,
Balut, Tondo, Manila as my true and legal representative in my name, and stead to do and
perform acts, to wit:

1. To request Apostille of my ________________________________________ at the

Department of Foreign Affairs
2. To do all other matters concerning to the release of my document request;
3. To send the completed documents to my residence.

HEREBY GIVING AND GRANTING unto my attorney-in-fact full power and

authority, to do and perform all acts and things whatsoever requisite and necessary to be done
in and about the premises as fully to all intents and purposes as I might or could lawfully do or
cause to be done by virtue thereof,

IN WITNESS WHEREOF, the parties hereby sign this Special Power of Attorney this
__________at the City of ____________

______________________________________________
Principal

Witnesses: ___________________________ __________________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

City of ____________ ) S.S.

On this ____________, 2022 in the City of ___________, personally appeared before me

the PARTIES, who executed the foregoing SPECIAL POWER OF ATTORNEY and they
acknowledged to me that the same is their free will and voluntary act and deed.

WITNESS MY HAND and official SEAL at the place and on the date first above written.

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Series of 2022