SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, __________________________, of legal age, single, Filipino citizen and resident of ______________________________________________, do hereby name, constitute and appoint _______________________________, of legal age and resident also of __________________________________, to be my true and lawful attorney-in-fact, for me and in my name, place and stead, to do and perform the following special powers, to wit:
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and 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 fully to all intents and purpose as I might or could do if personally present and acting in person; and
HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact shall lawfully do and cause to be done under by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand at ____________, Philippines, on this ____________ day of ________________, 20______.
SIGNED IN THE PRESENCE OF:
Republic of the Philippines
Makati City ) S.S.
BEFORE ME, a Notary Public in and for Makati City, Philippines, this ______________ personally appeared:
Name Res. Cert. Date/Place Issued
_________________ ____________ _________ _______
known to me to be the same persons who executed the foregoing instrument and they acknowledged to me that the same is their free and voluntary act and deed.
IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my notarial seal on the date and at the place first above written.