Special Power Of Attorney To Claim Pension


THAT I, ________________________, Filipino citizen, of legal age, married to _____________________ and resident of ________________ do hereby appoint, name and constitute ____________________________, citizen, of legal age, single/married and resident(s) of _______________________________ to be my true and lawful attorney to act in, manage and conduct all my affairs and for that purpose in my name and on my behalf to do and execute any or all of the following acts, deeds, and things, to wit:

To receive and collect from _______________________________ (name and location of remitting institution) any and all sums of money which now or hereafter become due me as:

( ) pension ( ) salary
( ) allowances ( ) other _____________

and to endorse the same if they are in the form of checks, for encashment or deposit in a bank under my account.


HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite or proper to be done in or about the premises, as fully to all intents and purposes as I might or could lawfully do if personally present, and hereby certifying and confirming all that my said attorney shall do or cause to be done under and by virtue of these presents.

This special power of attorney shall be in effect –

(  ) for ___________ month(s) / year(s)
(  ) until the completion of the object or purpose above-stated
(  ) until revoked

IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of ______________ at _______________________.


With my conformity: