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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, MICHAEL VINCENT LUZON, Filipino, of legal age, single, and a resident of


Sampaguita St., Capitol View Subd., Poro, San Fernando City, La Union, Philippines, do hereby
appoint, name and constitute <Name of Attorney-in-fact>, also of legal age, Filipino, single, and a
resident of _____________, Philippines, to be my true and lawful Attorney-in-Fact for me and in my
name, place and stead to withdraw and receive my last/back pay and all other benefits with <Name
of Company> with principal office address located at _____________, Philippines.

HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and
authority to do and perform all and every act requisite or necessary to carry into effect the foregoing
authority to sell, as fully to all intents and purposes as I might or could lawfully do if personally
present, with full power of substitution and revocation, and hereby ratifying and confirming all that
any of my said attorney-in-fact or his substitutes shall lawfully do or cause to be done by virtue
hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this November __, 2018 at San
Fernando City, La Union, Philippines.

MICHAEL VINCENT LUZON


PRINCIPAL

ACCEPTED BY:

<Name of Attorney-in-fact>
ATTORNEY-IN-FACT

SIGNED IN THE PRESENCE OF:

__________________________________ __________________________________
(Signature over Printed Name) (Signature over Printed Name)

REPUBLIC OF THE PHILIPPINES)


CITY OF SAN FERNANDO, L.U.) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public, personally appeared MICHAEL VINCENT LUZON, and
<Name of Attorney-in-fact>, both personally known to me (or whom I have identified through
competent evidence of identity) and who represented to me that their respective signatures on the
foregoing instrument were voluntarily affixed by them for the purposes stated in the instrument and
who declared that they have executed the foregoing instrument as their free and voluntary act and deed.

This Instrument consists of only one page, including this page in which this acknowledgment
is written, duly signed by the parties and their instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL hand this November __, 2018 at San Fernando City, La
Union, Philippines.

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

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