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SPECIMEN FORM A

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, (NAME OF PRINCIPAL) of legal age, single/married with residence and post


office address at __________________________________ in my capacity as Owner of
(NAME OF COMPANY) do hereby appoint STEP UP INTERNATIONAL MANPOWER
SERVICES represented in this act by MS. EDLYN GARCIA CALPO likewise of legal age,
Filipino, single, with office at Ground Floor A&C 1337 A. Mabini St., Ermita, Manila,
Philippines as our true and legal representative to act for and in our name and stead and
to perform the following acts:

1. To represent our company before any and all government and private
offices/agencies in the Philippines;

2. To enter into any and all contracts with any person, corporation, institution or entity
in a joint venture or as partner in the recruitment, hiring and placement of Filipino
contract workers for overseas employment;

3. To sign, authenticate and deliver all documents necessary to complete any


transaction related to such recruitment and hiring, including making the necessary
steps to facilitate the departure of the recruited workers;

4. To bring suit, defend and enter into compromises in my name and stead in litigations
brought for or against us (or our company) in all matters involving the employment
of Filipino contract workers for myself (our company);

5. To assume jointly and severally with the undersigned (our company) any liability that
may arise in connection with the worker’s recruitment and/or implementation of the
employment contract and other terms and conditions of the appointment as defined
and spelled out in the attached agreement, which we have previously executed.

HEREBY GRANTING unto my (our) said representative full power and authority to execute
or perform whatsoever requisite or proper to be done in about the premises as fully to all
intents and purposes as I might or could lawfully do if personally present, with power of
substitution & revocation and hereby ratifying and confirming all that my (our) said legal
representative or his substitute shall lawfully do or cause to be done under and by virtue
of these presents.
PAGE 2 – SPECIAL POWER OF ATTORNEY

IN WITNESS WHEREOF, we have hereunto set our hands


___________________, this _____ day of _________, 2016.

_______________________
Name of Principal

By:

___________________
President/General Manager/
Authorized Representative

We hereby accept the appointment:

STEP UP INTERNATIONAL MANPOWER SERVICES.

By: Edlyn Garcia Calpo


PROPRIETRESS / PRESIDENT

ACKNOWLEDGEMENT

Republic of the Philippines)


_____________________) S.S.

BEFORE ME a Notary Public in and for the City of ____________________


personally appeared _____________________ in his capacity as
President/General Manager of ________________________________________
exhibiting to me his/her Passport No. _____________ issued on _____________
known to me and to me known to be the same person who executed the
foregoing Special Power of Attorney and acknowledged that the same is his free
and voluntary act and deed.
WITNESS MY HAND AND SEAL this _____ day of __________ at_____________.

NOTARY PUBLIC

Doc. No.______________
Page No. _____________
Book No. _____________

Series of 2016

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