SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, ____________________, of legal age, Filipino citizen, married and a resident of Poblacion, Matalam, Cotabato,
do hereby NAME, CONSTITUTE AND APPOINT ___________________________, also of legal age, single, and a resident of Koronadal
City, to be my true and lawful attorney-in-fact, for me and in my name, place and stead, and for my use and benefit, to do and
perform all or any of the following acts and things, namely:
1. To represent me and my behalf for the processing and signing of any documents to claim my passport from
the Department of Foreign Affairs (DFA) General Santos City; and
2. To receive my renewed passport from the said DFA General Santos City.
HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and authority to do and perform every act and
thing whatsoever requisite and necessary to be done in and about the premises, as fully to all intents and purposes as I might or
could do if personally present, hereby ratifying and confirming all that my said attorney-in-fact shall lawfully do or cause to be done by
these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of_____________, 2024 at
_________________________.
_________________
Principal
_____________________
Attorney-in-fact
SIGNED IN THE PRESENCE OF:
____________________________ ____________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
_______________________________) S.S.
BEFORE ME, A Notary Public for and in the______________________, this ______ day of _____________, 2024,
personally appeared the above-named persons, who has satisfactorily proven to me their identities, that they are the same
person who executed and voluntarily signed the foregoing Special Power of Attorney, which they acknowledged before me as
their free and voluntary act and deed.
WITNESS MY HAND AND NOTARIAL SEAL.
Doc. No. _____;
Page No. _____;
Book No._____;
Series of 2024.
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