Special Power Of Attorney
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1S
P
A
PECIAL
OWER OF
TTORNEY
K
A
M
B
T
P
:
NOW
LL
EN
Y
HESE
RESENT
We,
and
, Filipinos, Spouses of legal age, married, with postal
address at
, do hereby name, constitute and appoint Great Wall
International Travel Inc., and its representative, Christopher Dejucos or Elpidio Rosario,
to be our true and lawful attorney-in-fact, for us and in our name, place and stead, to do and
perform the following acts and things, to wit:
1.
To file and receive on our behalf the travel clearance / travel permit for our
child,
;
H
G
G
unto our said attorney-in-fact full power and authority whatsoever
EREBY
IVING AND
RANTING
requisite or necessary or proper to be done in and about the premises, as fully to all intents and
purposes as we might or could lawfullly do if personally present, with power of substitution and
revocation, and hereby ratifying and confirming all that our said attorney-in-fact or his / her
substitute shall lawfully do or cause to be done under and by virtue of this presents.
I
W
W
, we have here unto set my hand this ___ day of __________, 2014 at
N
ITNESS
HEREOF
__________ City, Philippines.
................................................
.................................................
Affiant:
Affiant:
I accept:
................................................
A
CKNOWLEDGEMENT
Republic of the Philippines)
_________ City
) SS
B
M
, this ___ day of ___________ 2014 at __________ City, Philippines personally
EFORE
E
appeared the following with their respective Community Tax Certificates as follows:
Name
Passport No.
Date & Place Issued
Known to me and known to be the same person/s who executed the foregoing Special Power of
Attorney and acknowledging to me that the same is his/her/their free and voluntary act and deed.
Doc. No. ....................
Page No. ....................
Book No. ....................
Series of 2014 ............
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