SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, _________________, of legal age, single/married, Filipino, and resident of
__________________________, Sibalom, Antique, Philippines, do hereby appoint, name and constitute
_________________, single/married, of legal age, Filipino, and resident of ______________ Sibalom,
Antique, Philippines, to be my true and lawful Attorney-in-Fact, to act in, manage and conduct all
my affairs, and for the purpose in my name and on my behalf to do and execute all or any of the
following acts, deeds, and things, to wit:
1. To get my Salary, and all other claims from the Cashier.;
2. To sign on my behalf in the documents regarding to the above mentioned
transaction; and
3. In general, to do all acts, deeds, matters, and things whatsoever in or about my
affairs, or to concur with persons jointly interested with myself therein, doing all
acts, deeds, matters and things herein, either particularly or generally described,
as fully and effectually to all intents and purposes as we could do in my own
proper person as if personally present.
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority
whatever requisite or necessary or proper to be done in or about the premises, as fully to all
intents and purposes as I might or could lawfully do if personally present, and hereby ratifying and
confirming all that my said Attorney-in-Fact shall do or cause to be done under and by virtue of
these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _____, 2022 at San
Jose, Antique, Philippines.
________________________
Principal
I ACCEPT:
_____________________
Attorney-in-Fact
SIGNED IN THE PRESENCE OF:
___________________ & ____________________
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ANTIQUE) Sc.
MUNICIPALITY OF SAN JOSE)
X------------------------X
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the Province of Antique, on this 17th day of July,
2020 in San Jose, Antique, Philippines, personally appeared ____________________., who has
satisfactorily proven to me his identity through his identification card No. __________________,
issued by the ____________________ that he is the same person who presented the foregoing
Special Power of Attorney which he voluntarily signed in my presence.
WITNESS MY HAND AND SEAL.