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Special Power of Attorney template

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SPECIAL POWER OF ATTORNEY
We, JEAN ANN L. GACAYAN, of legal age, Filipino, married and a resident of
Junob, Dumaguete City; JOCELYN K. JANO, of legal age, Filipino, married and
a resident of Tinago, Dumaguete City; EDELIA F. PIÑERO, of legal age, Filipino,
married and a resident of Capitol Area, Dumaguete City; and CLORDIZA F.
GENEROSO, of legal age, Filipino, married and a resident of Lukewright,
Dumaguete City, hereby name, appoint and constitute CHARISSE JANINE LIM,
of legal age, Filipino, single and a resident of Bagacay, Dumaguete City, 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, to wit:
1. To claim our Philippine Regulatory Commission (PRC) Identification
Cards.
2. To sign, execute, and receive whatever documents and/or papers to
effect with her power stated in this authorization pertinent to the abovedescribed authority.
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 my said attorney or his
substitute shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, we have hereunto set my hand this 3rd day of
February 2017 at Dumaguete City, Philippines.
Principals:
JEAN ANN L. GACAYAN
EDELIA F. PIÑERO
JOCELYN K. JANO
CLORDIZA F. GENEROSO
Signed in the presence of:
________________________
_______________________
ACKNOWLEDGMENT
REPUBLIC
City of Dumaguete
OF
THE
PHILIPPINES)
) S.S.
BEFORE ME , a Notary Public for and in the City of Dumaguete, this 3rd day
of February 2017, personally appeared the following:
Name
JEAN ANN L. GACAYAN
Proof
of
Identification
Driver’s License No. 02-00-4520028
EDELIA F. PIÑERO
Dep. Ed. ID no. 4200728
JOCELYN K. JANO
Dep. Ed. ID no. 4201081
CLORDIZA F. GENEROSO
Dep. Ed. ID no. 4715489
known to me and to me known to be the same persons who executed the
foregoing Special Power of Attorney consisting of two (2) 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.
at
IN WITNESS WHEREOF, I have placed my hand and seal on the date and
the
place
first
above-written.
Doc.
Page
Book
Series of 2017.
No.
____:
No.____:
No.____:
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