Special Power of Attorney

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

            I, __________________________, of legal age, Both Filipino do hereby appoint, name, & constitute, _________________________ of legal age, to be my true and lawful attorney-in-fact, for me and in my name, place, and stead, to do and perform the following acts, to wit:

            To Receive. Sign, collect ____________________________________________________________________________________________________________.

            To receive, sign any cash or receive, sign or deposit any check of any kind from the said office.

            To encash the check and or deposit it in an account.

            This Special Power of Attorney shall not be repudiated except by express writing from the principal.

            HEREBY GRANTING AND GIVING unto our said attorney-in- facts full powers and authority to do and perform all and every act necessary to carry into effect the foregoing authority as fully to all intents and purposes as we might or could lawfully do if personally present, and hereby ratifying and confirming all that our said Attorney or his/their substitute shall lawfully do or cause to be done by virtue hereof.

            IN WITNESS WHEREOF, we have hereunto set our hands this _____ day of _____________ 2011 in the _________________, Philippines.

____________________________

Principal

                            

C O N F O R M E:

_____________________________

ACKNOWLEDGEMENT

            BEFORE ME, a Notary Public for and in_________________, this _____ day of ___________, 2011, personally appeared _____________________ , exhibiting to me his Senior Citize card with _________________________. Known to me and to be the same persons or identified by me by competent evidence of identity in accordance with the 2004 Rules on Notarial Practice, and who exhibited to me the above identification cards, who executed this foregoing Special Power of Attorney and they acknowledged that the same is their free and voluntary act and deed. This instrument consisting of two pages, including this page whereon this acknowledgement is written has been signed by herein parties and witnesses on each page.

            IN WITNESS WHEREOF, I have hereunto affixed my signature and notarial seal this _____ day of ___________, 2011 in ____________, Philippines.

                                                                                    NOTARY PUBLIC

Doc. No._____

Page No.____

Book No. ____

Series 2011.

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