Sei sulla pagina 1di 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, MARUHOM ADIA H. SALIC, of legal age, Filipino Citizen and


resident of _____________________________________, Philippines, hereby
NAME, CONSTITUTE, and APPOINT JALAL AMEROL RAKIM, also of
legal age, Filipino Citizen, and resident of
____________________________________, Philippines, to be my true, and
lawful attorney-in-fact for me and in my name, place, and stead, to
perform any and all of the following acts, to wit:

1. To recover and demand the immediate release of my


motor vehicle currently impounded in the
REGIONAL HIGHWAY PATROL UNIT-
CORDILLERA, more particularly described as
follows:

PLATE # : CS#YS5614
ENGINE # : 2KDS569273
CHASIS # : MHFZR69G903134802
COLOR : WHITE
TYPE : TOYOTA FORTUNER

2. To file CRIMINAL and ADMINISTRATIVE charges


against the persons who illegally took the motor
vehicle from the driver;

3. To sign and deliver any pertinent documents relative


to the above power.

HEREBY GIVING AND GRANTING unto our said attorney-in-fact


full power and authority to do and perform every act whatever requisite
and necessary to be done in and about the premises, as fully to all
intents and purposes as I might or could lawfully do if I were personally
present, hereby ratifying and confirming all that my said attorney-in-fact
shall lawfully do or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set our hand this 18 th


day of December, 2017 in the City of Cagayan de oro, Philippines.

MARUHOM ADIA H. SALIC


Principal
Driver’s License #: _____________________
Issued in ___________________
Issued on ___________________

Signed in the presence of:


_________________________ _________________________
Republic of the Philippines )
) S.S.
Done in the City of Cagayan de oro )

ACKNOWLEDGEMENT

BEFORE ME, a Notary Public for and in the City of Cagayan de


oro, Philippines, this 18th day of December, 2017 personally appeared
the above named parties whose identification indicated below his name
and who acknowledged to me that he executed the foregoing instrument
voluntarily and that the same is his free act and deed and that this
Special Power of Attorney consists of one (2) pages including this page in
which this acknowledgement is written signed by him and his
instrumental witnesses in my presence and in the presence of one
another.

WITNESS MY HAND AND SEAL.


Doc. No.____;
Page No. ____;
Book No. ___;
Series of 2017

Potrebbero piacerti anche