SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
‘That |, » of legal age, Filipino citizen, single/married and a resident
of » Davao City, Philipines, by virtue of these presents, do
hereby NAME, APPOINT AND CONSTITUTE, as Ihave NAMED, APPOINTED and
CONSTITUTED,my___, ________, of legal age, single/married,
ilipino citizen, to be my true and lawful attorney-infact, in my name, place and stead and for my benefit, to do all
‘any of the following acts, things and deeds:
1. To transact, negotiate, sign, execute and deliver contracts, documents, agreements with the
DAVAO LIGHT & POWER CO, with regards to my application for electric service connection
at coverd with electrical permit no. :
HEREBY GIVING and GRANTING, unto my said attorney-in-fact full and ample power of authority to
do and perform all and every act whatsoever desirable and necessary to be done in and about the premises as fully
to all intents and purposes as { would or could do if personally present, hereby RATIFYING AND CONFIRMING
that said attorney-in-fact, may do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I hereunto have affixed my signature the place first above written, on
this day of,
Principal
Conforme:
SIGNED IN THE PRESENCE OF:
and
ACKNOWLEDGEMENT
REPUBLIG OF THE PHILIPPINES)
CHY OF DAVAO) SS
BEFORE ME, this day of , at Davao City, Philippines, personally appeared
who exhibited his Community Tax Certificate No, __, issued
on________in Davao City, who is known to me and to me known to be the same person who executed
the foregoing instrument and acknowledged thatthe same is her free act and deed.
WITNESS MY HAND AND SEAL, at the place and on the date first above written,
Notary Public
Doe. No.
Page No. j
Book No, i
Series of ___.