REVOCATION OF SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, under date of _________________, I, _______________________, have executed a Special

Power of Attorney, naming and appointing _________________ as my true and lawful attorney-in-fact
for the purpose/s and with the power set forth in the instrument which was ratified before Atty.
______________________, Notary Public in and for ________________, as per Doc. No. ________,
Page. No. __________ Book No. _______________, Series of _____________ of his Notarial Register;

NOW, THREFORE, I have revoked, countermanded, annulled and made void, and by these presents do
revoke, countermand, annul and make void the said Special Power of Attorney and all powers and
authorities therein granted and conferred upon said attorney-in-fact __________________.

IN WITNESS WHEREOF, I have hereunto set my hand at ________________, on this ______ day of
______________, 20______.
_____________________
(Principal)

SIGNED IN THE PRESENCE OF:

___________________________ ___________________________

ACKNOWLEDGMENT

Republic of the Philippines)

Makati City ) SS.

BEFORE ME, a Notary Public in and in _______________ this _______ day of _________________, 2010,
personally appeared the following:

Name: CTC No./ Date & Place Issue Passport No.

___________________ ______________ ___________________

all known to me to be the same person who executed by the foregoing instrument and he/she
acknowledged to me that the same is his/her free and voluntary act and deed.

WITHNESS MY HAND AND SEAL in the place and on the date first above written.

Doc. No. _______;

Page No. _______;
Book No. ______;
Series of 20___.
 SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________________, of legal age, single, Filipino citizen and resident of

______________________________________________, do hereby name, constitute and appoint
_______________________________, of legal age and resident also of
__________________________________, to be my true and lawful attorney-in-fact, for me and in my
name, place and stead, to do and perform the following special powers, to wit:

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority to do and
perform any and every act and thing whatsoever requisite, necessary or proper to be done in and about
the premises as fully to all intents and purpose as I might or could do if personally present and acting in
person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-fact shall lawfully do and cause to be
done under by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my hand at ____________, Philippines, on this

____________ day of ________________, 20______.

____________________
Principal
Conforme:
______________
Attorney-in-fact

SIGNED IN THE PRESENCE OF:

____________________________ ___________________________
 ACKNOWLEDGMENT

Republic of the Philippines

Makati City ) S.S.

BEFORE ME, a Notary Public in and for Makati City, Philippines, this ______________ personally
appeared:

Name Res. Cert. Date/Place Issued

_________________ ____________ _________ _______
_________________ ____________ _________ _______

known to me to be the same persons who executed the foregoing instrument and they acknowledged
to me that the same is their free and voluntary act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my notarial seal on the date and at the
place first above written.

Doc No. _________

Page No._________
Book No. ________
Series of 20____.