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HEREBY GIVING AND GRANTING unto said attorney-in-fact, full power and authority to do
and perform all and any act and things whatsoever requisite or necessary to be done in and about
the premises, as fully to all intents and purposes as I could lawfully do if personally present. Hereby
ratifying and confirming all what is said attorney in-fact may lawfully do or cause to be done by
virtue hereof.
IN WITNESS WHEREOF, We have hereunto affixed our signature this ______ day of
________________, at the City of San Fernando (P).
_________________________ _________________________
Attorney-in-fact Principal/Maker
Kind of valid ID: _______________ Kind of valid ID:_________________
ID No._______________________ ID No._________________________
Valid until: ___________________ Valid until:_____________________
__________________________________ ___________________________________
ACKNOWLEDGMENT
Republic of the Philippines )
City of San Fernando ) s.s
BEFORE ME, the undersigned Notary Public for and in the Province of Pampanga, this
_________________ in City of San Fernando (Pampanga), personally appeared the above-named
principal, known to me to be the same person who executed the foregoing instrument and
acknowledged to me that the same is of her own free act and voluntary deed.