SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
We, XXXXXXXXXX, of legal age, married, Filipino and XXXXXXXXX, of legal age, married,
Filipino, both with residential address at Madinat Zayed, Al Dhafra Region, Abu Dhabi, do hereby
name, constitute, and appoint XXXXXXXXXXX, who is likewise of legal age, married, Filipino, and
with residential address at XXXXXXXXX Baguio City, Philippines to be our true and lawful attorney-in-
fact, for and in our name, place, and stead, to do the following:
1. To appear and transact in our behalf with the Social Security System (SSS) – Baguio
City Office and PAG-IBIG Fund – Baguio City and other appropriate office\s to
process and file the application for the death claims of our late mother XXXXXXXXXX;
2. To receive said death benefits and all other benefits that is/are due to us from SSS,
PAG-IBIG or other appropriate office\s;
3. To appear, transact and represent us before Banco De Oro – Baguio City Branch,
Rural Bank of Itogon and/or other appropriate bnaks to process the release of the
money and all money claims of our late mother;
4. To have the said benefits/claims be released in our names if the same be issued
through check/s and to encash and/or deposit said check/s with the appropriate
bank/s;
5. To represent us in all transactions pertaining to the conduct and execution of the
foregoing;
6. To make, sign, execute, and deliver all documents, and other writings of whatever
nature or kind as may be required by the said offices; and
7. To do any and all acts necessary to accomplish the foregoing.
HEREBY GIVING AND GRANTING unto our said attorney-in-fact full powers and authority to do
and perform all and every act requisite or 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, with full power
of substitution and revocation, and hereby ratifying and confirming all that our said attorney-in-fact or
his substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of __________at
___________________
XXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX
Principal Principal
_______ID Card _________ ________ID Card________
Signed in the presence of:
_____________________________ _____________________________
Republic/Country of _______________)
City/Municipality of ____________). S.S.
ACKNOWLEDGMENT
BEFORE ME, duly commissioned and qualified, personally appeared the principals, who are
personally known to me, exhibited their Competent Evidence of Identity bearing his photograph and
signature with particulars indicated below his name and signature above, manifested to me to be the
same persons who executed the foregoing instrument and acknowledged to me that the same are
their voluntary act and deed.
WITNESS MY HAND AND SEAL this ____ day of ____________, at
____________________
Authorizing Officer