REPUBLIC OF THE PHILIPPINES)

________ CITY ) SS.

AFFIDAVIT

I, ________________, Filipino, of legal age, with address at __________________________________,

after having been sworn to in accordance with law hereby depose and state that:
1. ]

2. ] STATE THE FACTS!

3.]

4. I herein attest to the truthfulness of the foregoing facts.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature this ___ day of __________200__ in ___________
City.

_____________
__________

Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public, this ___ day of ____________ 200__ at
_____________ City, affiant exhibited to me his Community Tax Certificate No. ____________ issued
on ______________ at ______________.

Doc. No. ;
Page No. ;
Book No. ;
Series of 200_.

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-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 OF THE PHILIPPINES)

MAKATI, METRO MANILA ) 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. No.:
Page No.:
Book No.:
Series of 200_.

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 OF THE PHILIPPINES)

MAKATI, METRO MANILA ) 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. No.:
Page No.:
Book No.:
Series of _____.

RELEASE WAIVER AND QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

That I, __________________, Filipino, of legal age, a resident of __________________,

and formerly employed with __________________, do by these presents acknowledge receipt of
the sum of __________________, Philippine Currency, from _____________________ in full
payment and final settlement of the (financial assistance or separation pay, overtime pay, salary
or salaries, wage or wages, commutable sick and vacation leaves, gratutities or any kind of
compensation or emoluments) due to me or which may be due to me from ____________________
under the law or under any existing agreement with respect thereto, as well as any and all claims
of whatever kind and nature which I have or may have against ________________, arising from my
employment with (and the termination of my employment with ______________________.

In consideration of said payment, I do hereby quitclaim, release, discharge and waive any
and all actions of whatever nature, expected, real or apparent, which I may have against
_______________, its directors, officers, employees, agents and clients by reason of or arising
from my employment with the company. I will institute no action, whether civil, criminal, labor
or administrative against _________________, its directors, officers, employees, agents and
clients. Any and all actions which I may have commenced either solely in my name or jointly with
others before any office, board, bureau, court, or tribunal against _________________, its
directors, officers, employees, agents and clients are hereby deemed and considered voluntary
withdrawn by me and I will no longer testify or continue to prosecute said action(s).

I declare that I have read this document and have fully understood its contents. I further
declare that I voluntarily and willingly executed this Release, Waiver and Quitclaim with full
knowledge of my rights under the law.

IN WITNESS WHEREOF, I have hereunto set my hand at _____________, this ___ day of
_______________, 2000.

____________
___________

Affiant

VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

I, _______________________, of legal age, after having been duly sworn in accordance with law,
depose and state that:

1. I am a plaintiff in the above-stated case;

2. I caused the preparation of the foregoing complaint;

3. I have read the contents thereof and the facts stated therein are true and correct of my
personal knowledge and/or on the basis of copies of documents and records in my possession;

4. I have not commenced any other action or proceeding involving the same issues in the Supreme
Court, the Court of Appeals, or any other tribunal or agency;

5. To the best of my knowledge and belief, no such action or proceeding is pending in the
Supreme Court, the Court of Appeals, or any other tribunal or agency;

6. If I should thereafter learn that a similar action or proceeding has been filed or is pending
before the Supreme Court, the Court of Appeals, or any other tribunal or agency, I undertake to
report that fact within five (5) days therefrom to this Honorable Court.

___________________________

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of __________ 200_ at

_________________ affiant exhibiting to me his Community Tax Certificate
No.____________________ issued on ________________ 200_ at ______________ City.
Doc. No. ;
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Series of 200_.