KNOW ALL MEN BY THESE PRESENTS:
I, _____________, Filipino, of legal age, (single / married / widow), and a resident of _____________, Philippines, do hereby appoint, name and constitute _____________, who is also 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 sign all the necessary documents, for and in my behalf, for purposes of and in connection with the incorporation and operation of __Name of Corporation__, an entity which is in the process of incorporation with principal office at _____________, Philippines, and to exercise any and all acts of ownership in connection with my stockholdings in said corporation, or in connection with any transaction with or involving the said corporation, with full powers and authority to perform acts such as but not limited to the sale, transfer, mortgage, assignment or conveyance of my stockholdings to any party, under such terms and conditions or for such price or in such amount as my said attorney-in-fact may deem fit; to waive for and in my behalf any rights or interests attendant to my stockholdings (e.g. pre-emptive rights, etc.); to waive, condone, set-off, assign any and all liability of the corporation to me or any of my claims against the corporation; to convert or exchange said liabilities/claims for shares/equity/other property and/or to subscribe to additional stocks in such amounts and under such terms as he may deem fit; to act as my proxy; to attend and represent me in any corporate meetings, whether special or regular, and to vote for and in my behalf any and all shares registered in my name as fully to all intents and purposes as I may lawfully do if present and acting in person, and to do such other acts necessary or incidental or as a consequence of my being a stockholder of the corporation.
HEREBY GIVING AND GRANTING unto my said attorney full power and authority to make, sign, seal, execute and deliver contracts, documents, agreements and other writings of whatever nature or kind, with any and all third persons, concerns, government agencies or entities upon terms and conditions acceptable to the said attorney-in-fact and execute such other documents as may be necessary for the implementation and furtherance of such power and authority as provided herein and to do and perform all and every act requisite or necessary to carry into effect the foregoing authorities as fully to all intents and purposes as I might or could lawfully do if personally present, with full power of substitution and revocation, and hereby ratifying and confirming all that my said attorney or his substitutes shall lawfully do, have done or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto affixed my signature this _____________ at _____________, Philippines.
SIGNED IN THE PRESENCE OF: