SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ________________, of legal age, Filipino, and resident of

__________________, Philippines, do hereby NAME, CONSTITUTE and
APPOINT ________________, of legal age, Filipino, and a resident of
_______________, Philippines, to be my true and lawful attorney-in-fact,
for me and in my name, place and stead, to do and perform all or any of the
following acts and deeds:
1. To process, transact and claim my _______________ at
Commission on Higher Education, _____________, Philippines;
2. To make, sign, execute, deliver or receive any documents
pertaining to the above-mentioned transactions; and
3. To do all other acts necessary to pursue the foregoing authority.
HEREBY GIVING AND GRANTING, unto said attorney-in-fact full
power and authority necessary or proper to be done in and about the
premises, as fully to all intents and purposes as I might or lawfully could do,
if personally present, hereby, ratifying and confirming all my said attorney-
in-fact shall lawfully do or cause to be done under and by virtue of these
presents.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
___ day of ____________, at _______ City, Philippines.

_____________________
PRINCIPAL
ID NO. _________

Specimen Signature:

___________________
Attorney-in-fact

SIGNED IN THE PRESENCE OF:

__________________________ ___________________________
 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ______ ) S.S.
x----------------------------------------------x

BEFORE ME, A Notary Public for the City of _____________, this

____ day of _____________, the principal herein, whose name and
personal circumstances are stated above, personally appeared before me,
identified by exhibiting and presented to me competent evidence of identity
written below her name, presented the foregoing document, signed the
same in my presence and affirmed under oath to the contents or
allegations of the same and acknowledged to me that the same is her own
free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and at the place above
written.

Doc. No. _____________;

Page No._____________;
Book No._____________;
Series of 2024