SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, RODOLFO DACOY MABAHIN, of legal age, Filipino citizen, single/married, and a resident of
# 261 TANGUILE ST. KAWAYAN VILLAGE FORTUNE MARIKINA CITY, do hereby name, constitute
and appoint :

TOMAS GALVEZ, of legal age, Filipino, single/married and a resident of CALBIGA SAMAR,
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 special power to get my certified true copy/security paper of
my birth certificate at NSO-National Statistics Office of CALBIGA SAMAR.

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 the _________ Philippines, on

this _____________2019

.
TOMAS GALVEZ RODOLFO DACOY MABAHIN
_____________________ ___________________
Attorney-in-fact Principal

SIGNED IN THE PRESENCE OF:

_____________________________ & ___________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

) S.S.
x-----------------------------------------------x

BEFORE ME, personally appeared ______________and TOMAS GALVEZ with

_____________________stated above, known to me to be the same person who executed the foregoing
Special Power of Attorney and they acknowledge to me that same is true act and voluntary deed.

IN WITNESS WHEREOF, I have hereunto affix my signature and notarial seal, this ______________ 2019
at the _________________________, Philippines.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2019

Special Power of Attorney and

 SPECIAL POWER OF ATTORNEY

That I, RODOLFO DACOY MABAHIN, of legal age, Filipino citizen, with residence at #261 TANGUILE ST.
KAWAYAN VILLAGE FORTUINE MARIKINA CITY,by these presents hereby constitute , name and appoint
______________of______________, to be my true and lawfully attorney, to act on my behalf and in my
name, to execute and perform all or any of the following acts, deeds, matters and thing, in connection
with the application and procurement of my birth certificate to wit:

1. To apply for and secure a certified true copy of my birth certificate issued by the Local Civil
Registry of _______________;
2. To procure such other documents pertaining to the application of the same;
3. To perform any and all acts and deeds as wellas to execute, sign , deliver, submit, follow-up,
recerive , enter into and conclude, any any and all documents, papers