Scribd
Upload
59 views1 page

Special Power of Attorney Form

The document is a special power of attorney that appoints someone to represent the person in applying for and settling matters related to a GSAG/Desilting Permit application at the ENRO office, granting full power and authority to the representative to act on their behalf.

Uploaded by

LGU TIWI MPDO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
59 views1 page

Special Power of Attorney Form

The document is a special power of attorney that appoints someone to represent the person in applying for and settling matters related to a GSAG/Desilting Permit application at the ENRO office, granting full power and authority to the representative to act on their behalf.

Uploaded by

LGU TIWI MPDO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SPA FORM

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS

I, _____________, of legal age, Filipino, single, and a resident of and with postal address at
______________________, constituted and appointed and does by these presents MAKE, CONSTITUTE
AND APPOINT, __________________, of legal age, married, Filipino, with residence
at_______________________ to be the true and lawful attorney-in-fact, for me and in my name, place
and stead, and for my own use and benefit, to do and perform all or any of the following acts and things,
namely:

1. To sign and receive all documents pertaining to my application for


GSAG/Desilting Permit at ENRO OFFICE.
2. To settle other matters related to the said application.

HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and authority to do and
perform all and every act and thing whatsoever requisite, and necessary to be done, in about the
premises, hereby ratifying and confirming all that said attorney-in-fact shall lawfully do or cause to be
done by virtue of this presents.

IN WITNESS WHEROF, I have hereunto affixed my signature this ____ th day of


____________________________ at Tiwi Albay, Philippines.

______________________

ACKNOWLEDGMENT

Republic of the Philippines )


Province of _______ ) S. S.
Municipality of _____i }

BEFORE ME, a Notary Public for the place and on the date aforementioned personally
appeared _______________ with his TIN. ______________________, known to me and to me
known to be the same person who executed the foregoing instrument and she acknowledged
to me that the same is her free act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.


Notary Public

Doc No.
Page No.
Book No.
Series of 2022

You might also like