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SPECIAL POWER OF ATTORNEY

KNOWN ALL MEN BY THESE PRESENTS

I, , Filipino, of legal age, single, with residence and postal address at, do hereby
name, constitute, and appoint and by these presents do hereby named,
constituted and appointed likewise of legal age, married and with postal
address at, to be my own and lawful Attorney-in-Fact, for me and in my name,
place and stead, to do and perform any and all of the foregoing acts and things,
namely:

1. To represent, receive/claim the and other related document thereto from

2. To make, sign and execute, for and in my behalf, any documents which may
be necessary for the release of the certificate;

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power


and authority to do and perform any and every act thing whatsoever required
and necessary to be done as I might or could do, I personally present and
acting in person, HEREBY RATIFYING AND CONFIRMING all that my said
Attorney-in-Fact may also do or cause to be done under and by virtue of these
presents.

In witness whereof, I hereunto signed my name this _____ day of


______________, 2022, at ______________________________.

Principal

With my conformity:

Attorney in Fact

ACKNOWLEDGMENT
Republic of the Philippines
) S.S.
BEFORE ME, a Notary Public in and for ______________, Philippines, this
______________ personally appeared:
Name Identification

known to me to be the same persons who executed the foregoing instrument


and they acknowledged to me that the same is their free and voluntary act and
deed.
IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my notarial
seal on the date and at the place first above written.

NOTARY PUBLIC
Document No.
Page No.
Book No.
Series:

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