GENERAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _________________________________ of legal age, single (or married to
_____________________), resident of ____________________________, the undersigned principal, do
hereby grant a general power of attorney to _____________________________. of
____________________________, as my attorney-in-fact.
My attorney-in-fact shall have full powers and authority to do and undertake all acts on my behalf
that I could do personally including but not limited to the right to sell, deed, buy, trade, lease, mortgage,
assign, rent or dispose of any of, my future real or personal property; the right to execute, accept,
undertake, and perform all contracts in my name; the right to deposit, endorse, or withdraw funds to or
from any of my bank accounts, depositories or safe deposit box; the right to borrow, lend, invest or
reinvest funds on any terms; the right to initiate, defend, commence or settle legal actions on my behalf;
the right to vote (in person or by proxy) any shares or beneficial interest in any entity; and the right to
retain any accountant, attorney, physician or other advisor deemed necessary to protect my interests
generally or relative to any foregoing unlimited power.
My attorney-in-fact hereby accepts this appointment subject to its terms and agrees to act and
perform in said fiduciary capacity consistent with my best interests as in my attorney's best discretion
deems advisable, and I affirm and ratify all acts undertaken. This power of attorney may be revoked by
me at any time, and shall automatically be revoked upon my death, provided any person relying on this
power of attorney before or after my death shall have full rights to accept the authority of my attorney-infact until in receipt of actual notice of revocation.
IN WITNESS WHEREOF, I have hereunto set my hand on this ____ day of _______________ in
___________.
_______________________________
Principal
CONFORME:
_____________________________________
Specimen Signature of the Attorney-in-Fact

Signed in the presence of:

__________________________

__________________________

ACKNOWLEDGMENT CONSISTING OF 2 OR MORE PAGES

REPUBLIC OF THE PHILIPPINES)
CITY OF ____________________ ) S.S.
x-----------------------------------------------x
BEFORE ME, this ___ day of _________, 2005 in the Municipality of _____________, Province of
___________, Philippines, personally appeared
__________________________,
Driver's License No. N25-02-003180 expiring on March 4, 2006
,
__________________________,
Driver's License No. N26-02-123456 expiring on December 5,
2006
known to me to be the same person who executed the foregoing instrument, and who
acknowledged to me that the same is his free act and deed.
This instrument, consisting of ___ pages, including the page on which this Acknowledgment is
written, has been signed on the left margin of each and every page thereof by the parties. and their
witnesses, and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, on the day,
year, and place above written.

Name: ___________________________
Notary Public for [Municipality/City/Province]
Office Address of Notary Public _____
Appointment No. _____ Until [date][year]
Roll of Attorneys No. _____
PTR No. ______; [date issued][place issued]
IBP No. ______; [date issued][Chapter]
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2013.