Special Power Of Attorney

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SPECIAL POWER OF ATTORNEY
KNOW ALL MEN THESE PRESENTS:
I, __________________________________, of legal age, single/married,
Filipino, a resident of
________________________________________________________,
owner
of
________________________
_______________ do hereby name, constitute, and appoint ___________________________________, to be my
true and lawful attorney, for me and in my name, place, and stead, to do and perform the following acts and things to
wit:
To make, sign, execute, and deliver contracts, agreements, documents and other writings of whatever
nature or kind, with the Bank of the Philippine Islands in connection with our application for merchant accreditation
with BPI;
To open/maintain a settlement account with any branch of the Bank of the Philippine Islands where the
proceeds of credit, debit, and prepaid card transactions will be credited to.
HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite
or necessary or proper to be done in and about the premises as fully to all intents and purposes as I might and 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, We have hereunto affixed our signatures this ___________ day of
____________________ , 2007 in ______________________, Philippines.
___________________________________
__________________________________
(Principal)
(Agent /Attorney-In-Fact)
Signed in the presence of:
_____________________________
______________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES}
Machete City
}SS
SUBSCRIBED AND SWORN to before me this _______ day of ___________________, 20_____.
Affiant/Prinicipal exhibiting to me his/her Community Tax Certificate No. ________________ issued at
___________________ on _______________.
NOTARY PUBLIC
Doc No:
Page No:
Book No:
Series of 2007
MSD 22 - Nov 2007

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