SPECIAL POWER OF ATTORNEY  

KNOW ALL MEN BY THESE PRESENTS:

THAT I, ____________________________________ of legal ages, Filipino citizen, presently residing at ____________________________________________________ herby name, constitute and appoint ____________________________, of legal age, presently residing at ____________________________________________________ to be my true and lawful attorney-in-fact, for me and in my name, place and stead to do and perform any and all of the following acts and things, to wit:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

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HERBY GIVING AND GRANTING unto my said attorney-in-fact full power and authority whatsoever requisite or necessary to carry into effect the foregoing authority as fully to all intents and purposes as I might or could lawfully do if personally present, and hereby ratifying and confirming all that my attorney-in-fact do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ________ at the city of _______________, Federal Republic of Germany.

_______________________________
(Assignor)

Signed in the presence of:

__________________________
Officer of the Philippine Embassy