SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, ____________, legal of age single. And resident of __________, do hereby
name, Appoint, and constitute, ______________, legal of age and a resident of
_____________ to be my true and lawful attorney-in-fact for me and my name, place,
and to perform the following acts and deeds.

To claim/get my gratuity pay under administrative order (AO) No. 46, s.
2021 signed by President Rodrigo Duterte for FY 2021;

To claim/get my honorarium for the month of January & February 2022
from the Department of Education – Cebu City Division, Imus extension,
Cebu City and to sign any paper relative, in my behalf;
HEREBY GIVING AND GRANTING my said attorney full powers that may be
required to execute the foregoing authority as fully and to all intents and purpose as if I
am personally presents, and further confirming all that said attorney shall lawfully do in
the premises.
IN WITHNESS WHEREOF, I hereunto affixed my signature this Day of March 16,
2022 at Cebu City, Philippines.
______________
ATTY-IN-FACT
__________________
Principal
Signed in the presence of:
_____________________
_____________________
REPUBLIC OF THE PHILIPPINES)
CITY OF CEBU…………………………..)
BEFORE ME, personally appeared __________ with his Res. Cert. No. _________,
Issued on _______________l, known to me be the same person who executed the
forgoing instrument and he/she acknowledge to me that same is his/her free and act and
deed.
WITNESS MY HAND AND SEAL, on
_____________ 2022 at Cebu City, Philippines.
Doc. No. _______
Page No. _______ Book
No. _______
Series of ________
this
____________
day
of