SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, __________________________, of legal age, with residence at
______________________________________, Philippines, do hereby NAME, APPOINT, and
CONSTITUTE _____________________________, of legal age, Filipino, with residence at
_____________________________, Philippines, to be my true and lawful Attorney-In-Fact to act,
manage, and conduct all my affairs, and for that purpose in my name and in my behalf to do and execute
any of the following acts and deeds:
1. To process, receive, and collect from the ____________________. any and all sums of
money / checks which I may claim as last pay arising from the final pay of
______________________; and
2. To represent, execute, pay the fees required, sign any and all documents and papers, as
well as receive or claim in my behalf said documents from the Wipro Philippines Inc.
HEREBY GIVING AND GRANTING unto my said Attorney-in-Fact full power and authority to do
and perform all and every act requisite or necessary to carry into effect the foregoing authority, as fully to
all intents and purposes as I might or could lawfully do if personally present, with full power of substitution
and revocation, and hereby ratifying and confirming all that any of my said attorney-in-fact or his
substitutes shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this ________________, at
____________, Cebu, Philippines.
_______________________________
Principal
Accepted by:
_________________________
Attorney-In-Fact
REPUBLIC OF THE PHILIPPINES)
CITY OF ) S. S.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
ACKNOWLEDGMENT
BEFORE ME, a Notary Public Public for and in the City of ________________, personally
appeared __________________________ with ____________________, who represented to me that
their signature on the foregoing instrument was -voluntarily affixed by them for the purposes stated in the
instrument and who declared that they have executed the foregoing instrument as their free and voluntary
act and deed.
This Instrument consists of only one (1) page, including this page in which this acknowledgment
is written, duly signed by ____________________________, and their instrumental witnesses.
WITNESS MY HAND AND SEAL on the date, the year, and on the place herein first above-
written.
Doc. No. ;
Page No. ;
Book No. ;
Series of 20__.
