SPECIAL POWER OF ATTORNEY

I, __________________, Filipino Citizen, of legal age, and with residence

at Zapote, Las Piñas City, hereby name, constitute and appoint,
____________________ with office ______________________

1. To represent me or appear in the hearings and in any and/or all

proceedings in the case entitled ______________ with Crim. Case/s No/s 12345-
68 for violation of B.P. Blg. 22 before the Metropolitan Trial Court 1of Las Piñas
City.

2. To appear during Preliminary/Pre-trial Conferences, mediation and trials

for the said case with authority to enter into stipulation of facts and settlement on
any matters that could be subject to settlement; and

3. To perform such other acts or things which are incidental or necessary

for the protection of my rights relative to this case.

HEREBY GIVING AND GRANTING unto the said attorney-in-fact

full power to do and perform any and every act and thing whatever requisite,
necessary or proper to be done in and about the premises as fully to all intents
and purposes as I might or could do if personally present and acting in person,
with full power of substitution and revocation.

IN WITNESS WHEREOF, I hereunto affixed my hand this 23 rd day of

March 2023.

___________________
Principal

Republic of the Philippines)

Las Piñas City ) Sc.

BEFORE ME, a Notary Public personally appeared

_______________________ and presented to me her Philippine Passport with
passport no. P7051641A. She is known to me to be the same person who
executed the foregoing instrument and acknowledged the same to be his own,
free and voluntary act and deed.

WITNESS MY HAND AND SEAL this 23rd day of March 2023.

Doc. No. _____;

Page No._____;
Book No _____;
Series of 2023.