SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _______________________, of legal age, Filipino, and a resident of Purok
Kabugwason Brgy.Vista Alegre, Bacolod City, Negros Occidental, Philippines, do hereby name and
constitute appoint __________________________ of legal age, and a resident of Unit 929
Cordova Tower Marquinton Residences Sto. Niño, Marikina City Philippines, to be my true and
lawful attorneys-in-fact for me and in my name, place and stead, to do and perform the
following acts and things, to wit:
To process and/or follow up the legalization/authentication (“Appostille) of my birth
certificate with Department of Foreign Affairs , Manila ;
To sign, execute, deliver make and prepare any and all papers, documents and receipts
to effect the foregoing authority;
To make payments to the said government agencies in connection therewith and to
Claim and receive in behalf and that may be issued in my name;
HEREBY GIVING AND GRANTING unto my said attorneys-in-fact full power and authority
whatsoever requisite 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 hereby ratifying and
confirming all that my said attorney-in-fact shall lawfully do under and by virtue of these
presents.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this _____
day of _________, 2022 in Bacolod City.
__________________________
Principal
SIGNED IN THE PRESENCE OF:
____________________ __________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for in Bacolod City, this _____ day of ________, 2022
personally appeared, ________________________________ personally known to me as the
same person who executed the foregoing SPECIAL POWER OF ATTORNEY which he
acknowledged before me as his free and voluntary act and deed.
WITNESS MY HAND and SEAL on date and place first above given.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2022.