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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________, Filipino citizen, of legal age, married/single and residing in


____________, Philippines, do hereby NAME, APPOINT and CONSTITUTE _________,
likewise a Filipino citizen, of legal age, married/single and residing in
____________, Philippines, to be my true and lawful attorney-in–fact for me and
in my name, place and stead, to do and perform the following acts and things,
to wit:

1. To initiate and/or file in my behalf the application for the issuance


and/or renewal of a Certificate of Public Convenience (CPC) to
operate a Transportation Network Vehicle Service (TNVS) before the
Land Transportation Franchising and Regulatory Board (LTFRB);

2. To appear and represent me in the preliminary conference,


presentation of formal offer of evidence, hearing or any proceedings
in the LTFRB regarding the aforesaid application and/or renewal;

3. To receive the decision as well as other notices and processes of the


Honorable Board regarding the aforementioned application and/or
renewal; and

4. To perform any act or sign or deliver any document, and to perform


such other matters as required and may aid in the prompt
consummation of the foregoing authority.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


powers and authority to do and perform any and every act and thing
whatsoever requisite, necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might or could lawfully do if
personally present and acting in person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-


fact shall lawfully do and cause to be done under and by virtue of these
presents.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


______ day of ____________, 2018 in _______, Philippines.

__________________
(Principal)
2

SIGNED IN THE PRESENCE OF:

______________________________ ______________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


______________________________________ )S.S.
X - - - - - - - - - - - - - - - - - - - - - - - - - - -X

BEFORE ME, a Notary Public for and in the City of _______, and Province
____________, Philippines, this _____ day of _________, 2018, personally appeared
_________ with ID No. __________, known to me and me known to be the same
person who executed the foregoing Special Power of Attorney (SPA), and
acknowledged that the same is his free act and voluntary deed.

This instrument consisting of TWO (2) pages, including this whereon


the acknowledgment is written, has been signed by the party and witnesses
on each and every page thereof.

WITNESS MY HAND AND SEAL on the place and date above-stated.

Doc. No. ______;


Page No. ______;
Book No. _____;
Series of _________.

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