SPECIAL POWER OF ATTORNEY

I _______________________, hereby name, appoint and constitute _________________________

to be my true and lawful attorney, to act on my behalf and in my name, to execute and perform
all or any of the following acts, deeds, matters and things, in connection with
_________________________, to wit:
(ENUMERATE POWERS TO BE CONFERRED)
HEREBY GIVING AND GRANTING unto our said attorney full powers and authority to do and perform
all and every act requisite or necessary to carry into effect the foregoing powers, 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 my said attorney or his
substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _________ 2001, in
__________________.

____________________________
Conforme:
(Signature

of

Appointee)

Signed in the presence of:

__________________________

__________________________

ACKNOWLEDGMENT
REPUBLIC
MAKATI, METRO MANILA ) S.S.

OF

THE

PHILIPPINES)

BEFORE ME , a Notary Public for and in the __________, this ___________________, personally
appeared the following:

Name

CTC

No.

Place

Date

known to me and to me known to be the same person/s who executed the foregoing General
Power of Attorney consisting of __ pages including the page on which this Acknowledgment is
written, and who acknowledged to me that the same is their free and voluntary act and deed.
IN WITNESS WHEREOF, I have placed my hand and seal on the date and at the place first
above-written.

Doc.
Page
Book
Series of _____.

No.:
No.:
No.:

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 attorneys 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-in-fact until in receipt of actual notice of
revocation.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of

____________________
,
200__
in
__________________________
Philippines.

_
_____________________
CONFORME:
(Signature of Appointee)

Signed in the presence of:

__________________________

__________________________

ACKNOWLEDGMENT
REPUBLIC
MAKATI,

OF
METRO

THE
MANILA

PHILIPPINES)
S.S.

BEFORE ME , a Notary Public for and in the __________, this ___________________, personally
appeared the following:
Name

CTC

No.

Place

Date

known to me and to me known to be the same person/s who executed the foregoing General
Power of Attorney consisting of __ pages including the page on which this Acknowledgment is
written, and who acknowledged to me that the same is their free and voluntary act and deed.
IN WITNESS WHEREOF, I have placed my hand and seal on the date and at the place first
above-written.

Doc.
Page
Book
Series of 200_.

No.:
No.:
No.: