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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, MARY GRACE PELAEZ MALEY, of legal age, Filipino, single and with an official address at
Purok Everlasting, Barangay Visayan Village Tagum City, Davao del Norte, Philippines, do
hereby name, constitute and appoint my son K. BRENTH-MA. D. HILDAWA of legal age, Filipino,
single and a resident of Purok Everlasting, Barangay Visayan Village Tagum City, Philippines, to
be the true and lawful attorney-in-fact, for and on behalf of my name, place and stead, to do
and perform the following special powers, to wit:

1. To claim my requested Original Copy of my Certificate of Live Birth, National Bureau of


Investigation Clearance; and

2. To sign and receive other pertinent papers requested by the undersigned.

Generally, to do such acts and things necessary and/or requisite for the consummation of
the authority and transactions herein mentioned.

HEREBY GIVING AND GRANTING unto said attorney-in-fact full power and authority
whatsoever requisite or necessary or proper to be done with regards to the claim of requested
pertinent papers and other claims as fully to all intents and purposes as we might or could
lawfully do if personally present and acting in person; and

HEREBY RATIFYING AND CONFIRMING all that said attorney-in-fact shall lawfully do or cause
to be done under and by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto affixed our signatures this ___ day of 2018 in
_________________________________, Philippines.

MARIA RICHIE D. NICOLAISEN


Principal
Conforme:

CAROL MAY A. PELAEZ


Attorney-in-Fact
Signed in the presence of:
_____________________________& ___________________________
ACKNOWLEDGMENT

BEFORE ME, on the same date and place above, personally appeared the parties and
their witnesses who are known to me as the same persons who executed and/or witnessed the
execution of the foregoing instrument and who further acknowledged that the same is their
free and voluntary act and deed.

This instrument consists of 1 page including the page on which this acknowledgment is
written and had been signed on each and every page thereof by the parties.

DOC NO. : ___________


PAGE NO. : ___________
BOOK NO. : ___________
SERIES OF : ___________

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