Republic of the Philippines)

City of Pasig….) S.S.

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, EVERE C. ARDIENTE, of legal age, with residence and postal address at Blk 4 Lot 1
Cattleya St., Greenwoods Executive Village, Cainta Rizal, do hereby APPOINT RENANTE I.
GEMONIANO and/or JOCELYN M. GEMONIANO, likewise of legal age, with postal
address at Rico Optical F. S Pajares Avenue, Pagadian, as my true and legal representative to act
for and in my name and to perform the following acts:
1. To receive and claim the Student Record and Report Card of my daughter, JELEICA
ASHLEY PASATIEMPO, grade 5 student at Potters School, Legaspi St., Molave,
Zamboanga del Sur.

HEREBY GRANTING, unto my representative full power and authority to execute and
perform every act necessary to render effective the power to receive the Student Record and
Report Card herein specified.
IN WITNESS WHEREOF, I have hereunto set my hands on this 31 st day of May, 2018,
at Pasig City.

EVERE C. ARDIENTE
(Principal)

RENANTE I. GEMONIANO and/or JOCELYN M. GEMONIANO

(Representative/Agent)

SUBSCRIBED AND SWORN to before me this 31st May, 2018 in Pasig City.
I hereby certify that I have personally examined the principal with her Passport with
Passport No. EC1002658 and I am satisfied that she voluntarily executed and understood this
Special Power of Attorney.
NOTARY PUBLIC
Doc No. ______
Page No. ______
Book No. ______
Series of 2018