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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, NAME, of legal age, single, Filipino and a resident of


Barangay ______, Iloilo City, do hereby name, constitute, and appoint
NAME, of legal age, married, Filipino and a resident of Barangay
______, Iloilo City to be my true and lawful attorney-in-fact for me
and in my name, place and stead, to do and perform the following
special powers to wit:

1. ; and
2. To do and perform all acts and things necessary to give effect to
the foregoing powers.

HEREBY GIVING AND GRANTING unto my said attorney-


in-fact full power and authority whatsoever requisite to be done in
and about the purposes I might or could do if personally present.

HEREBY RATIFYING AND CONFIRMING all that my said


attorney-in-fact or her substitute shall lawfully do or cause to be done
in and about and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand this


____ day of October, 2018 in the City of Iloilo, Philippines.

NAME
Principal

NAME
Attorney-in-fact

SIGNED IN THE PRESENCE OF:

&
Republic of the Philippines )
City of Iloilo ) S. S.
X------------------------X

ACKNOWLEDGEMENT

BEFORE ME, a notary public for and in the City and Province
of Iloilo, Philippines, personally appeared PRINCIPAL with his ID
No. ____ issued in the City of Iloilo, known to me to be the same
person who executed the foregoing instrument and acknowledged to
me that the same is his free and voluntary act.

The foregoing instrument, which is a Special Power of


Attorney, consists of two (2) pages including the page where the
acknowledgement appears and signed by the parties and the two (2)
witnesses and sealed by my notarial seal.

WITNESS MY HAND AND SEAL, in the City of Iloilo,


Philippines, this 8th day of October, 2018.

Doc No.
Page No.
Book No.
Series of 2018

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