SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That I, _________________________________________________, of legal age, Filipino, and a resident of

_______________________________________________________________, do hereby name, appoint, and constitute
______________________________ of legal age, Filipino, single and a resident of
_________________________________________________, as my true and lawful attorney-in-fact for my name, place, and
stead to perform the following:

1. To transact, file documents, to follow-up, to receive copies of documents, such as, or, in relation to, my NATIONAL
CERTIFICATE LEVEL II at TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY (TESDA) Provincial Office
Davao City.
2. To sign, execute and acknowledge all such papers and documents leading to the realization of the above purpose;
3. And to do whatever is necessary to accomplish his authority.

HEREBY GRANTING and GIVING unto my said attorney-in-fact full and necessary power and authority to do perform any
and every act and requisite necessary to be done in and about the premises as fully to all intents and purposes as we might or
could do if personally present and acting in person. HEREBY RATIFYING AND CONFIRMING ALL that my said ATTORNEY-IN-FACT
may also do or cause to be done under and by virtue to these presents.

IN WITNESS WHEREOF, we hereunto set my hand this _______ day of __________, 2016 at
______________________, Philippines.

_________________________________
Principal
CTC No.:_________________

Signed in the presence of:

__________________________ _________________________

Republic of the Philippines)

) s.s
X------------------------------X
ACKNOWLEDGMENT

Before me a Notary Public for and in the _______________personally came and appeared the above named persons, known to
me and by me known to be the same persons who executed the foregoing instrument of Special Power of Attorney, signed by the
parties and their instrumental witnesses and they acknowledged to me that the same is their own free and voluntary act and
deed.

WITNESS MY HAND AND SEAL, this ______ day of __________, 2016 at

______________________________________________________________.

Doc. No. __________________ NOTARY PUBLIC

Page No.__________________
Book No.__________________
Series of 2016