SPECIAL POWER OF ATTORNEY

I, ____, of legal age, Filipino citizen, with residential address at ______, do hereby name, appoint and
constitute ATTY. ______, of legal age, Filipino, with office address at ______ Philippines as my attorney-in-
fact with full power and authority to represent me in the case against _______ pending before
__________ docketed as _________.

My attorney-in-fact is authorized to represent, appear and act on my behalf in all stages of the subject
case, whether original or appellate, to sign verification and certification of non-forum shopping and other
necessary documents, pay necessary fees, appear at mediation conference, Judicial Dispute Resolution,
and pre-trial or preliminary conference with full power and authority to do the following:

i. possibility of amicable settlement, and submission to alternative modes of dispute

resolution;
ii. enter into an amicable settlement;
iii. the simplification of the issues;
iv. the necessity or desirability of amendments to the pleadings;
v. the possibility of obtaining stipulations or admissions of facts and of documents to avoid
unnecessary proof;
vi. the limitation of the number of witnesses;
vii. agree to a preliminary reference of issues to a commissioner;
viii. agree on submission of position paper or other pleadings in lieu of formal hearing;
ix. agree on the propriety of rendering judgment on the pleadings, or summary judgment, or
of dismissing the action should a valid ground therefor be found to exist;
x. the withdrawal of complaint;
xi. agree on the advisability or necessity of suspending the proceedings; and
xii. such other matters as may aid in the prompt disposition of the action.

HEREBY GIVING AND GRANTING unto my attorney-in-fact full power and authority to do and perform all
acts necessary to carry into effect this authority, as fully to all intents and purposes as I can lawfully do if
personally present, with full power of substitution and revocation, and hereby ratifying and confirming all
that my above-named attorney-in-fact shall lawfully do or cause to be done by virtue of this instrument.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ______________ 2022 in the
_________________ Philippines.

_____________

SIGNED IN THE PRESENCE OF:

_______________________ _______________________

ACKNOWLEDGMENT

Republic of the Philippines)

) S.S.

BEFORE ME, a Notary Public, for and in the ____________________, this _________________, the affiant
personally appeared, with competent evidence of identity consisting of his _____________, known to me
to be the same person who executed the foregoing instrument and acknowledged to me that his
signature on the instrument was voluntarily affixed by him and the same is his free and voluntary act and
deed. WITNESS MY HAND AND SEAL on the date and place written above.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2022.