Special Power of Attorney

SPECIAL POWER OF ATTORNEY

I _______________________, hereby name, appoint and constitute _________________________ to be my true and lawful attorney, to act on my behalf and in my name, to execute and perform all or any of the following acts, deeds, matters and things, in connection with _________________________, to wit:

(ENUMERATE POWERS TO BE CONFERRED)

HEREBY GIVING AND GRANTING unto our said attorney full powers and authority to do and perform all and every act requisite or necessary to carry into effect the foregoing powers, 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 my said attorney or his substitute shall lawfully do or cause to be done by virtue hereof.

 IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _________ 2001, in __________________.

 

                                                                                               ____________________________

Conforme:

(Signature of Appointee)
 
 

Signed in the presence of:

__________________________           __________________________
 

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)
MAKATI, METRO MANILA ) S.S.

      BEFORE ME , a Notary Public for and in the __________, this ___________________, personally appeared the following:

   Name                       CTC No.                      Place                                   Date
 
 

known to me and to me known to be the same person/s who executed the foregoing General Power of Attorney consisting of __ pages including the page on which this Acknowledgment is written, and who acknowledged to me that the same is their free and voluntary act and deed.

        IN WITNESS WHEREOF, I have placed my hand and seal on the date and at the place first above-written.
 

Doc. No.:
Page No.:
Book No.:
Series of _____.