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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, of legal age, single/married, Filipino citizen and Owner of


with postal address at appoints
of legal age, single, Filipino citizen with postal address at
, to be my true and lawful attorney-in-fact, for me and in my name,
place and stead, to do and perform the following special powers, to wit:

To authorize to process, transact, claim & sign the documents pertaining to the

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite, necessary or proper to be done.

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact shall lawfully do and cause
to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this ______________ at________________.


Philippines

Attorney-in-Fact Principal

Signed in the presence of:

______________________________ ______________________________

ACKNOWLEDGEMENT

Republic of the Philippines )


)S.S.

Before me, a Notary Public and in the City of ____________________ appeared:

Name CTC No. Date & Place of Issue

NAME OWNER __________________ ____________________


NAME __________________ ____________________

who proved to me on the basis of satisfactory evidence to be the same persons who executed the foregoing
instrument and they acknowledged to me that the same is their free and voluntary acts and deed.

WITNESS MY HAND SEAL this ____________________ at _______________, Philippines.

Notary Public

Doc. No. ____


Page No. ____
Book No. ____
Series of 2023

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