Sunteți pe pagina 1din 2

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:


I, _______, of legal age, single, Filipino, a resident of________________, do
hereby name, constitute and appoint ___________________, of legal age, married
and a resident of __________________, to be my true and lawful attorney, for me
and in my name, place, and stead, to do and perform the following acts to wit:
To apply for and obtain electricity connection with ZAMSURECO I, Alano
Street, Pagadian City for the residential building/house located at
________________, Pagadian City;
To make, sign, execute and deliver documents, agreements, and other
writings of whatever nature or kind, with any and all third persons, concerns, or
entities, upon terms and conditions acceptable to my said attorney;
To delegate in whole or in part any or all of the powers herein granted or
conferred, by means of an instrument in writing, in favor of any third person or
persons whom my said attorney may select;
HEREBY GIVING AND GRANTING unto my said attorney full power and
authority whatever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might or could lawfully do if
personally present, with 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 under and by virtue of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of
__________________, 2018, in Pagadian City, Zamboanga del Sur, Philippines.

_____________________ ______________________
Principal Agent/Attorney-In-Fact

WITNESSES:

_____________________________________ ____________________________________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES )
CITY OF PAGADIAN ) S.S.

BEFORE ME this 20th day of July, 2018, in the City of Pagadian personally
appeared:

NAME IDENTIFICATION CARD DATE AND PLACE


OF ISSUE

________________________ _________________________ _____________________


_______________________ ______________________________ _____________________
______________________ _______________________________ _____________________
______________________ _______________________________ _____________________

Known to me to be the same person who executed the foregoing instrument, and
acknowledged that the same are their free act and deed.

This instrument, consisting of two (2) pages, including the page on which
this acknowledgment is written, has been signed on the left margin of each and
every page thereof by _________________ and ___________________ and their
witnesses, and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand on the date and


place above written.

Doc. No. _____;


Page No. _____;
Book No._____;
Series of _____.