SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, Principal Name, of legal age, Filipino, and a resident of Address, do hereby NAME,
CONSTITUTE and APPOINT Attorney-in-fact, also of legal age, Filipino, and a resident of
Address, to be my true and lawful attorney-in-fact, for me and in my NAME, PLACE and STEAD,
to do and perform the following acts and things, to wit:

1. To transact in my behalf and process my application for electrical connection with

SOCOTECO II, J. Catolico Sr. Ave., Lagao, General Santos City, for my housing unit located at
Address, identified as Lot ______________ containing an area of ONE THOUSAND SIX
HUNDRED SEVENTY EIGHT (1,678) square meters, more or less, embraced in and
covered by Transfer Certificate of Title No. ________________;

2. To attend membership seminar, tender deposit and secure necessary documents/

papers/certifications from any government offices which may be required by the said
office for the fulfillment of the said purpose;

3. To sign, execute, follow-up, receive and deliver in my behalf any and all documents
necessary for the attainment of the foregoing power and authority given by virtue of this
document.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do
and perform any and all acts and things whatsoever and requisite, as fully to all intents and
purposes as may be lawfully done or cause to be done if personally present with power of
substitution, and hereby ratifying and conforming, all that my attorney-in-fact may do and
perform by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _________________, at Lagao,

General Santos City, Philippines.

NAME with conformity: NAME

Principal Attorney-in-fact
Driver’s License No. Driver’s License No.

Signed in the presence of: 1. ____________________________________ 2. ____________________________________

ACKNOWLEDGMENT
Republic of the Philippines)
City of General Santos ) S.S.
X--------------------------------X

BEFORE ME, a Notary Public, for and in the City of General Santos, on this _________ day of
___________________, personally the above-named known to me to be the same persons who
executed the foregoing Special Power of Attorney and they acknowledged to me that the same is
their free act and voluntary deed.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc No. ______

Page No. ______
Book No. ______
Series of 2023