SPECIAL POWER OF ATTORNEY

KNOWN ALL MEN BY THESE PRESENTS:

I, ______, of legal age, Filipino, __________ with business address at

_______________________do hereby name, appoint, and constitute __________________ of
legal age and with residence and postal address at ___________________, as my true and lawful
attorney-in-fact to perform the following acts:

1. To enter, on my behalf, into compromise agreements and settlements with regard to any
matter in the case of ____________________;
2. To submit to alternative modes of dispute resolution;
3. To enter into stipulations or admission of facts and documents;
4. To attend the Single-Entry Approach (SEnA) Conciliation-Mediation and preliminary
conference of the case, where they are authorized to agree to the following matters:
a. The simplification of the issues;
b. The necessity or desirability of amendments to the pleadings;
c. The limitation of the number of witnesses;
d. The propriety of rendering judgment on the pleadings, or summary judgment, or of
dismissing the action should a valid ground therefor be found to exist;
e. The advisability or necessity of suspending the proceedings; and
f. Such other matters as may aid in the prompt disposition of the action.

HEREBY GIVING and GRANTING unto my 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 and
about the premises, as fully, to all intents and purposes, as I might or could do if personally
present, and HEREBY APPROVING AND RATIFYING ALL that my representative may lawfully
do by virtue hereof with full right of substitution of its person and revocation of this instrument.

IN WITNESS WHEREOF, I have signed this Special Power of Attorney on 15 May 2017
in Quezon City, Philippines.

SIGNED IN THE PRESENCE OF

_______________________ _______________________

ACKNOWLEDGEMENT

Republic of the Philippines )

City of Manila ) s.s.

BEFORE ME, this ___ day of May, 2017 in Quezon City, Philippines, personally
appeared_______________, with Driver’s License No._______________ issued by the Land
Transportation Office, known to me to be the same person who executed the foregoing
instrument, and who acknowledged to me that the same is his free act and deed.

WITNESS MY HAND AND OFFICIAL SEAL on the date and place above-written.

Doc. No.
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Book No.
Series of 2017