SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, __________________, of legal age, Filipino Citizen, Single, with the resident at ___________________ Davao City, by these presents do hereby NAME, CONSTITUTE AND APPOINT ___________________, single, Filipino citizen with residence and postal address at ____________________________, Davao City, Philippines, to be my true and lawful Attorney-in-Fact, to act in my name, place and stead, to do and execute any of the following acts, to wit:
HEREBY GIVING AND GRANTING unto my said attorney 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 conforming all that my said attorney shall do in my name and stead under by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set
my hand this ____________, _____ at
__________________
Principal
Conforme: ____________________
Attorney-In-fact
Republic of the
X----------------------------------------------------X
WITNESS MY HAND AND SEAL on the date and place above written.
Doc. No.
Book No.