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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ROSITA H. SALUGSUGAN, of legal age, Filipino, with principal residence at J. ARTADI STREET,
POBLACION MAMBAJAO, CAMIGUIN, do hereby appoint, name and constitute, MRS. GLORIA S.
RAYOS , likewise of legal age, married, with residence at #146 ZONE 2 MENDOZA COMPOUND,
PATAG, CAGAYAN DE ORO CITY, who is my agent, and is not a lawyer, as my true and legal
representative to act for and in my name, place and stead, and on my behalf to do and execute any or all of the
following acts, deeds, and things, to wit:
 to accept/pick-up the following from DEPARTMENT OF FOREIGN AFFAIRS.
 Passport
HEREBY GIVING AND GRANTING unto my agent/representative full power and authority to execute and
perform every act or thing lawfully done hereunder and within powers herein stated necessary to render
effective the special power granted in this instrument, as though I have so performed it, and HEREBY
APPROVING and RATIFYING ALL that she may do by virtue thereof.
This special power of attorney shall be in effect until the completion of the object or purpose above-stated
unless revoked.

IN WITNESS WHEREOF, I and my attorney-in-fact hereby set our hands this 21th day of April 2022, in the
CAGAYAN DE ORO CITY, PHILIPPINES.

Rosita H. Salugsugan Gloria S. Rayos


PRINCIPAL AGENT

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


City/Municipality of Cagayan de Oro ) S.S.

BEFORE ME, on the date and place above written, personally appeared the following persons with
competent evidence of their identity:

Name ID Document ID No. Expiry Date Issuing Authority


Eulogio R. Rayos

Said persons acknowledged under oath to me under penalty of law, that the whole contents of this
document are true and the same are their free and voluntary acts and deeds.

WITNESS MY HAND AND NOTARIAL SEAL.

Notary Public

Doc. No. : _____


Page No. : _____
Book No.: _____
Series of _____.

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