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SPECIAL POWER OF ATTORNEY

We, ___________, _________________and_____________________, hereby name, appoint


and constitute_________________ to be our true and lawful attorney, to act on our
behalf and in our name, to execute and perform all or any of the following acts,
deeds, matters and things, in connection with the application for heirs’ bond to
Prudential Guarantee, to wit:

1. To process the application upon submission of requirements;

2. To sign, execute and deliver any and all documents that may be necessary in
the application of heir’s bond;

3. To do any acts and things which may be needed or requisite in the


furtherance of the foregoing undertaking.

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 we might or could lawfully
do if personally present, with full power of substitution and revocation, and hereby
ratifying and confirming all that our said attorney or her substitute shall lawfully do
or cause to be done by virtue hereof.

IN WITNESS WHEREOF, we have hereunto set our hand this 24 th day of September
2018

Grantor/Principal
(Signature of Appointee)

Signed in the presence of:

_________________________
__________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


Quezon City) S.S.

BEFORE ME, this 24th of September, 2018 in Quezon City, Philippines, personally
appeared:

Name Proof of Identity Number Valid Until

known to me and to me known to be the same persons who executed the foregoing
Contract, and acknowledged that the same is their true and voluntary act and deed
and principal they represent.

This instrument relates to a Contract, which consists of one (1) page, including its
Annex/es, if any, and this page where this acknowledgment is written, signed on
each and every page thereof, and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year, and place above written.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2018.

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