SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _______________________, of legal age, married/single, Filipino citizen and
residing at _____________________________________________________________,
hereby appoint __________________________, of legal age, Filipino and with address
at _____________________________________, as my true and lawful attorney-in-fact,
for my name, place and stead and for my use and benefit to do the following:
1. __________________________________________________________
__________________________________________________________
2. __________________________________________________________
__________________________________________________________
3. To sign execute and deliver any and all documents/papers necessary for
the accomplishment of the foregoing.
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and
authority whatsoever requisite or necessary 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 ratifying and confirming all that my said attorney-in-fact shall do or
cause to be done under and by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of
________________, at ____________________.
______________________
Principal
ACCEPTED:
______________________
Attorney-in-Fact
SIGNED IN THE PRESENCE OF:
___________________ ____________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
) S.S.
BEFORE ME, a Notary Public for and in the _______________ this ______ day
of ____________________, personally appeared ____________________ with
Community Tax Certificate No. _________________ issued on _______________ at
________________, and his Passport/SSS/Driver’s License No. _______________,
known to me and to me known to be the same person who executed the foregoing
Special Power of Attorney duly signed by him and his instrumental witnesses and he
acknowledged to me that the same is his free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place first above written.
Doc. No. _______;
Page No. _______;
Book No. _______;
Series of 2005.