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REPUBLIC OF THE PHILIPPINES )

CITY OF CATBALOGAN, SAMAR ) S.S.

SPECIAL POWER OF ATTORNEY

I, GILLIAN KATE BACSAL, of legal age, Filipinos, single with


permanent address at Purok 2, Brgy. Canlapwas, Catbalogan City,
Samar, hereby name, appoint and constitute MARIA TERESA F. ANDOQUE,
likewise of legal age, and presently residing at Bacoor, Cavite, to be our
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 the processing of the documents needed for the
issuance of my Certificate of Live Birth, to wit:

1. To process the correction of the entries in my Certificate of Live


Birth;

2. To demand, claim and receive the requested documents; and

3. To do all acts necessary to give effect to the foregoing authority.

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 powers, as fully to all intents and purposes
as we might or could lawfully do if personally present, with full power of
substitution and revocation, and hereby ratifying and confirming all that
our said attorney or her substitute shall lawfully do or cause to be done by
virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this 10th day of


February 2018, in Catbalogan City, Samar.

GILLIAN KATE A. BACSAL


AFFIANT

Conforme:

MARIA TERESA F. ANDOQUE

Signed in the presence of:

IMELDA BACSAL RICALDE MA. ANABELLE O. GAVIOLA


ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF CATBALOGAN, SAMAR ) S.S.

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


Calbayog, this 10th day of February 2018, personally appeared the
following:

Name ID No. Place Issued Date

GILLIAN KATE HO1-13-000481 Catbalogan


BACSAL City, Samar
MARIA TERESA F.
ANDOQUE
IMELDA BACSAL CRN-006-0049- Catbalogan
RICALDE 7668-4 City, Samar

MA. ANABELLE O. Student No. Catbalogan


GAVIOLA 172075 City, Samar

known to me and to me known to be the same person/s who executed


the foregoing General Power of Attorney consisting of 2 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 2018.

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