PROXY

KNOWN ALL MEN BY THESE PRESENTS:

That I, the undersigned stockholder of ___________________, INC. (the
Corporation), a corporation duly existing and organized under Philippine
Laws, do hereby nominate, constitute and appoint ___________________, as my
true and lawful attorney-in-fact and proxy, with full power of substitution and
revocation, to represent me and vote all shares registered in my name on the
books of said Corporation, at the annual stockholders meeting of the
Corporation to be held on _____________ at ___________, and at any
adjournment or adjournments thereof, on any and all matters and things that
may come at said meeting or any adjournments thereof, as fully to all intents
and purposes as I might or could do if personally present, hereby revoking
any proxy or proxies heretofore given to vote such stock, and ratifying and
confirming all that my above mentioned attorney-in-fact or proxy or his
substitute(s), may do or cause to be done by virtue of these presents.
In case of the non-attendance of my said attorney-in-fact or proxy
above named or his duly designated substitute(s) at any particular meeting, I
hereby authorize and empower the Chairman of the Meeting, to fully exercise
all rights as my attorney-in-fact or proxy at such meeting. The power and
authority hereby granted shall remain valid and effective until such time as
the same is withdrawn by me through notice in writing delivered to the
Corporate Secretary before the date of any such meeting or adjournment(s)
thereof.
IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd of
January at Tarlac City, Tarlac.

NAME OF STOCKHOLDER

_________________________________
SIGNATURE OF STOCKHOLDER/
AUTHORIZED SIGNATORY
_____________________
DATE

THIS PROXY SHOULD BE RECEIVED BY THE CORPORATE SECRETARY,

on or before_______________, AT ____ am/pm , WHICH IS THE DEADLINE
FOR SUBMISSION OF PROXIES.