SPECIAL POWER OF ATTORNEY

I, XXXXXXXX, of legal age, Filipino, single,

and with residence and postal address at XXXXXXX,
do hereby name, constitute and appoint XXXXXXXX, of
legal age, Filipino, and with residence and postal
address at XXXXXX, to be my true and lawful
attorney, acting for me and in my name, place and
stead, to do the following acts and things, to wit:

To request for, and to receive, copies of my

transcript of records, Bachelor of Science in
Nursing diploma, certificate of good moral
character, and Summary of Related Learning
Experience Cases from Global City Innovative
College, Taguig City, Metro Manila.

HEREBY GIVING AND GRANTING unto my said

attorney full powers and authority to do and
perform all and every act requisite or necessary to
carry into effect the foregoing authority, as fully
to all intents and purposes as I might or could
lawfully do if personally present, and hereby
ratifying and confirming all that my said attorney
shall lawfully do or cause to be done by virtue
hereof.

IN WITNESS WHEREOF, I have hereunto set my hand

this ____ day of ______________, 2017, in
XXXXXXXXXX, Philippines.

XXXXXXX
Principal

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

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PROVINCE OF XXXXXXXXXXXXXX )ss.
MUNICIPALITY OF XXXXXXXX )
x-------------------------x

BEFORE ME, a Notary Public for, and in,

XXXXXXXXXX, this ____ day of XXXXXXXX, 2017,
personally appeared XXXXXXXXXXXXX, whose identity I
established through his Professional Drivers
License No. XXXXXXXXXXXXXXXX issued by the Land
Transportation Office, Department of Transportation
and Communications (now Department of
Transportation) and his Tax Identification No.
XXXXXXXXXXXXXXXX issued by the Bureau of Internal
Revenue, Department of Finance, bearing his
photograph and signature, which he exhibited to me,
known to me and to me known to be the same person
who executed this instrument and he acknowledged to
me that the same is his free and voluntary act and
deed.

This instrument consists of two (2) pages

including this page whereon this acknowledgement is
written, each of which page has been signed by
XXXXXXXXXXXXX and sealed with my notarial seal.

WITNESS MY HAND AND SEAL on the day, year and

place above written.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2017.

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