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Republic of the Philippines )

Makati City )

SPECIAL POWER OF ATTORNEY

I, ______________________, of legal age, French, and with residential


address at ______________________________________ after having sworn in
accordance with the law, hereby authorize, appoint and constitute:

____________________________________ with office address at


____________________________________ to be my true and lawful ATTORNEY-
IN-FACT and fully authorize to transact the following:

a. Downgrading of my 9G visa to tourist visa with the Bureau of


Immigration;
b. Extension of my tourist visa with the Bureau of Immigration;
c. Application for Alien Employment Permit with the Department of
Labor and Employment;
d. Application for 9G visa with the Bureau of Immigration;
e. Application for Emigration Clearance Certificate/Exit Clearance with
the Bureau of Immigration;
f. Application for ACR I-Card with the Bureau of Immigration;
g. Implementation of my 9G visa with the Bureau of Immigration;
h. Other government applications and transactions related to the
foregoing.

HEREBY GIVING AND GRANTING unto said attorneys-in fact full


powers and authority to do and perform every acts and things of whatever
requisite and necessary to be done in and about the premises, including the
authority to obtain and pick-up my downgrading order, passport with stamped
tourist or 9G visa, ACR I-Card, Emigration Clearance Certificate/Exit Clearance
and other permits or documents and hereby ratifying and confirming all that my
said attorneys-in-fact shall do or cause to be done under and by virtue of these
presents.

IN WITNESS WHEREOF, we have hereunto set my hand this


____________________________ at Makati City Philippines.

________________________

1
ACKNOWLEDGMENT

BEFORE ME, a Notary Public in and in for Makati City, Metro Manila,
Philippines, this __________________, personally appeared:

NAME EVIDENCE OF IDENTITY

known to me and to me known to be the same person who executed the


foregoing documents, and presented to me that the instrument entitled Special
Power of Attorney consisting of ONE (1) page including this page where the
acknowledgment is written, signed by the parties, and acknowledged to me that
the signature on instrument were voluntarily affixed by him for the purposes
stated in the instrument, and declared to me that she had executed the
instrument as him free and voluntary act and deed.

WITNESS MY HAND AND SEAL, on the date and at the place first
written above.

NOTARY PUBLIC
Doc. No.____;
Page No.____;
Book No.____;
Series of 2018

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