SPECIAL POWER OF ATTORNEY
KNOW ALL MEN THESE PRESENTS: ____________________________, ____, of legal I, ________________________ egal age age, with with resi reside denc nce e addr addres ess s at _____________________________________________________, ___________________________ __________________________, Philippines, do hereby ______________________ _______ with name, constitute constitute,, and appoint appoint _______________ with the same postal postal address, 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 and things to wit:
1. o apply, apply, proces process, s, procur procure, e, follow follow-up -up and recei! recei!e e any document"s pertaining to my a# Identification $umber application with the %I&' (. o ma ma)e )e,, sign sign,, and and e#ec e#ecut ute, e, othe otherr writ writin ings gs of what whate! e!er er natu nature re or )ind )ind,, with with any and and all all thir third d persons, entities or concerns, as well as &*+*I*, A++*P and +*+, the abo!e-cited application, upon upon terms terms and condit condition ions s accept acceptabl able e to my said said Attorney-In-Fact'
/*&*%0 II$ A$2 &A$I$ unto my said Attorney-In-Fact full power and authority whatsoe!er re3uisite or necessary or proper to be done in and about the premises as fully to all intents and purposes as I might and could lawfully do if personally present, with power of substitution and re!ocation, and hereby, ratifying and confirming all that my said attorney or his substitute shall lawfully do or cause to be done under and by !irtue of these presents. I$ 4I$*55 4/*&*F, 4/*&*F, we ha!e hereunto hereunto affi#ed our signatures signatures this 1( th day of 6anuary (718 in the +ity of 9anila, Philippines.
$ame of Pricipal;
$ame of Agent"Attorney-In-Fact;
ACKNOWLEDGMENT &epublic of the Philippines; +ity of 9anila
; 5.5
%*F&* 9*, personally appeared: Name
I.D. PRESENTED
2oc. $o. ____' Page $o. ____' %oo) $o. ____' 5eries of (718.
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