SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, NAME OF AUTHORIZED SIGNATORY, owner of COMPANY NAME which is a duly

registered business of the Republic of the Philippines, with Department of Trade and Industry
(DTI) Registration No. ______________________________, and Bureau of Internal Revenue
(BIR) Tax Identification No. ____________________________, with registered business
address at ___________________________________________________, do hereby name,
constitute and appoint_________________, of legal age, and resident of
_______________________________
_______________________________________, to be my Attorney-in-Fact, for me and in my
name, place and stead, to do and perform the following special powers, to wit:

To act as representative and agent, with full authority to file, process and pay my BIR
registrations.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full authority to do and
perform any and every act and thing whatsoever requisite, necessary or proper to be done in
and about the premises as I might or could do if personally present and acting in person;

HEREBY RATIFYING AND CONFIRMING all that my said Attorney-in-Fact shall lawfully do
and cause to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand at ________________ on this ______

day of _____________, ________.

(SIGNATURE OVER PRINTED NAME)

Attorney-in Fact Principal

WITNESSES:

____________________________ ____________________________
Signature over Printed Name Signature over Printed Name