SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________, of legal age, single, Filipino citizen, with residence at

_________________________________ do hereby name, constitute and appoint:
Ms. ____________________________ of legal age, Filipino citizen, single and resident of
________________________________________________________,
To be my true and lawful Attorney-in-fact for me and in my name, place and stead, to do and perform
all any of the following;
1. To represent me for and in my behalf in the processing of documents for my Application of
Registration and to the Bureau of Internal Revenue;
2. To receive, and acknowledge receipts; sign and execute necessary papers and documents in
relation thereto and generally to do or perform any act or dee necessary or that may be required
in furtherance of this authority;
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority
whatsoever requisite and necessary 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 shall lawfully do or cause to be done
under and by virtue of these presents
IN WITNESS WHEREOF, I have hereunto set my hand at_______________THIS DAY OF
______________ 2018.

SIGNED IN THE PRESENCE OF:

____________________________ _____________________________
Principal Attorney-in-fact

WITNESSES
_____________________________ ___________________________________

ACKNOWLEDGEMENT

Republic of the Philippines )

_________________________) S.S

BEFORE ME, personally appeared ______________ presenting to me his competent proof

identification as stated above, known to me to be the same person who executed the foregoing Special
Power of Attorney and he acknowledged to me that same is his true act and voluntary deed.

In WITNESS WHEREOF, I have hereunto affix my signature and notarial seal, this___________
at______________.

Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.