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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _______________________, of legal age, Filipino, married, and a resident of ____________________, do


hereby appoint, name and constitute, _____________________, likewise of legal age, Filipino, and a resident of 10
DACC, Fort Bonifacio, Taguig City, Philippines, to be my true and lawful attorney-in-fact, for me, in my name, place and
stead, to do and perform the following acts and things, to wit:

1. To process, and pick- up my retired Military Identification Card, and Dependents Identification
Card at the Office of the OTAG, Camp Emilio Aguinaldo, Quezon City, Philippines;

2. To make representation in my behalf;

3. To deliver, execute and sign documents in any government agencies and perform any and all
acts necessary and required, and impliedly included, for the accomplishment and performance
of the powers aforementioned.

It is hereby agreed upon that this Special Power of Attorney cannot be used for any purpose other than that
above-mentioned.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact, full power and authority to do and perform all or
every act and deed, whatsoever requisite and necessary to be done as fully to all intents and purposes as I might or could
do if personally present, and I hereby ratify and confirm all that my said Attorney-in-Fact shall lawfully or cause to be done
by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hands this ___________________, at ______________,


Philippines.

___________________________________
Principal
___________________________

SIGNED IN THE PRESENCE OF: 1.____________________ 2.__________________

ACKNOWLEDGMENT

Republic of the Philippines… )


CITY OF ____…………….. ) S.s.
Province of _____________.. )
x---------------------------------------------x

BEFORE ME, this _______________________, in ________________, Philippines, personally appeared and


known to me to be the same person who executed the foregoing instrument signed by the parties and the witnesses of
which he acknowledged to me to be his free and voluntary act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No.______;
Page No.______;
Book No.______;
Series of 2021.

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