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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________________, Filipino, of legal age, married


and a resident of Barangay Rizal, Surigao City, hereby name, consti-
tute and appoint ____________________likewise of legal age, Fil-
ipino, with address at Barangay San Juan, Surigao City to be my true
and lawful Attorney-in-Fact, for me and in my name, place and stead
to do the following acts:

1. To represent and facilitate the processing in the Supreme Court


and other appropriate government agencies in order to obtain all
the documents such as
__________________________________________and some
other documents that are necessary for the application of Notarial
Commission.

2. To facilitate the payment of proper fees, charges, and other ex-


penses relative thereto, required to facilitate and secure the above
transactions before the appropriate government agencies.

HEREBY GIVING AND GRANTING, unto my said Attorney-in-


Fact full powers and authority to do and perform all and every act requisite
or necessary to carry into effect the foregoing authority, as fully to all intents
and purposes as I might or could lawfully do if personally present and
hereby ratifying and confirming all that my said Attorneys–in-Fact shall
lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this ____


day of _____________________ 2023 at Surigao City, Philippines.

__________________________________
Principal

With my conformity and acceptance:

______________________________
Attorney-in-Fact

Signed in the presence of:

____________________ ______________________

1
ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the City of Surigao, the
following appeared and exhibited to me proof of their respective identities:

Name Type of ID Identification No.

known to me and to me known to be the same person who executed


the foregoing instrument, and he acknowledged to me that the same is her
own free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed


my notarial seal, this __________ day of ________________________,
2023 at Surigao City, Philippines.

Doc. No. ______


Page No. ______
Book No.______
Series of 2023

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