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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, .………………………………………………………………………….............................................., Filipino, of legal age,


single / married and with office address at …………………………………………………………………………………..
……………………………………………………………………………….., being the registered owner and sole proprietor of
…………………………………………………………................................. (the “Firm”), duly registered with the Department
of Trade and Industry, hereby appoint, …………………….....................................................................................................,
whose signature(s) appear(s) below, as my Attorney(s)-in-Fact with full power and authority singly / jointly /
……………………………………., to:

(a) sign, execute, and/or deliver any and all documents in connection with my deposit account(s) with Sterling
Bank of Asia (the “Bank”);

(b) withdraw my funds/monies in said account(s) by checks, receipts, drafts, bills of exchange, withdrawal slips,
order for payments or otherwise; and

(c) sign, endorse, draw, accept, make, execute, and/or deliver for negotiation, payment, deposit or collection
checks, receipts, drafts, bills of exchange, order of payment, and/or other similar instruments issued by or
to the Firm.

NAME SIGNATURE

1. _________________________________________ ________________________________

2. ________________________________________ ________________________________

3. ________________________________________ ________________________________

The foregoing authority shall be valid for one (1) year from the date of its effectivity.

HEREBY GIVING AND GRANTING unto my said Attorney(s)-in-Fact full power and authority to do and perform every act
and thing requisite and necessary to be done in and above the premises, hereby ratifying and confirming all that my
said Attorney(s)-in-Fact may do or lawfully cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day of …………….……., 20…… at
………………………………………………..

______________________________________
Signature of Principal Over Printed Name

SIGNED IN THE PRESENCE OF:

____________________________________________
____________________________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


)SS

BEFORE ME, a Notary Public personally appeared …………………………………………………………………, with


Community Tax Certificate / Passport No. ……………………… issued on ………………......……………… at
…………………………………………………. , known to me and to me known to be the same person who executed the
foregoing Special Power of Attorney, and he/she acknowledged to me that the same is his/her free and voluntary act and
deed.

WITNESS MY HAND AND SEAL on this ……… day of ………………………………... 20………….. at the place first above
written.

Notary Public
Doc. No. ………….;
Page No. ………….;
Book No. ………….;
Series of 20 …………..

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