SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

[] (the “Corporation”), a corporation duly organized and existing under and by virtue of the laws of [],
with principal address at [] represented by its [], namely [], hereby names, constitutes and appoints []
with office address at [], and any of its partners, associates, or employees, including but not limited to
[], to be the Corporation’s true and lawful Attorney-in-Fact, for its name, place, and stead, to do and
perform any and all of the following acts and deeds:

1. To prepare, execute and file the application for the issuance of Certificates Authorizing
Registration (“CAR”) with the relevant Revenue District Office of the Bureau of Internal
Revenue (“BIR”) in connection with the transfer of [], to [];

2. To do and perform all and every requisite necessary to carry into effect the foregoing authority, to
obtain the foregoing CAR, as fully to all intents and purposes of the Corporation might or could
lawfully do if personally present, with full power of substitution and revocation;

3. To accept and receive any and all documents, including all official communications from the BIR
and/or any government agencies relating to the CAR application; and

4. To execute, sign, deliver any and all documents, papers and instruments and to do such things as
may aid in the prompt disposition of any of the above-stated actions.

HEREBY GIVING AND GRANTING unto our said Attorney-in-Fact and its representatives, full power
and authority to carry into effect the foregoing and ratifying all that our said Attorney-in-Fact and its
representatives may do or cause to be done by virtue hereof.

Dated this ___ day of ________, [].

[]

By:

_______________________

Authorised Representative
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

[] ) S.S.

BEFORE ME, a Notary Public for and in [], this day of _______________ personally appeared the
following:

Name Competent Evidence Of Expiry Date And Place Of

Identity Issuance
[] [] []

By: [Authorized Representative] [] Philippines

who are known to me to be the same person who executed the foregoing instrument and he acknowledged
to me that the same is his free and voluntary act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my notarial seal on the date and at the place first above
written.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of [].