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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:


I, _______________, single, of legal age, with residence and postal address at _____________________,
do hereby APPOINT ______________________, single, likewise of legal age and postal address as our
true and legal representative to act for and in my name and to perform the following acts:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
HEREBY GRANTING unto my representative full power and authority to execute and
perform every act necessary to render effectively as though I myself, have so performed it,
and HEREBY APPROVING ALL that she may do by virtue hereof.
IN WITNESS WHEREOF, WE HAVE HEREUNTO SET OUR HANDS THIS ____DAY OF
_________, AT Manila.

_______________________________
APPOINTEE

__________________________________
APPOINTED

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