Joint Power Of Attorney Form

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The Consular Section of the Philippine Embassy in Tokyo, Japan assumes no responsibility for the contents of this document
Notarial Form 2a2/ Joint GPoA
JOINT POWER OF ATTORNEY
(Pinagsamang Pagtatalaga ng Kapangyarihan Pangkinatawan)
KNOW ALL MEN BY THESE PRESENTS, that we:
IPINABABATID SA LAHAT NA SA PAMAMAGITAN NITO, kami, sina:
Name:______________________________________
Name:_______________________________________
Citizenship:___________________________________ Citizenship:___________________________________
Age:_________ Date of Birth:____________________
Age:________ Date of Birth : ____________________
Civil Stat:________ Place of Birth: ________________
Civil Stat:_________ Place of Birth: _______________
Address:_____________________________________
Address:_____________________________________
do hereby name, appoint and constitute:
ay aming hinihirang at itinatalaga si:
Name:______________________________________________ Citizenship ____________________________
Date of Birth:_____________________ Residence:________________________________________________
to be our true and lawful ATTORNEY-IN-FACT, for us and in our name, place and stead,
bilang aming tunay at ligal na tagapangasiwa’t kinatawan, na para sa amin, sa ganang amin, at sa aming pangalan
to do and perform the following act(s) and deed(s):
ay gagawin at isasakatuparan ang mga sumusunod:
[ Use the reverse side as additional space when necessary / Gamitin ang likod ng papel kung kinakailangan ]
HEREBY GIVING AND GRANTING unto said ATTORNEY-IN-FACT full power and authority requisite or
NGAYO’Y IBINIBIGAY AT PINAHIHINTULOT sa nabanggit na kinatawan, ang lahat ng kapangyarihan na kinakailangan
necessary, to perform or cause the necessary act(s) to be done, fully and completely as we might or could lawfully
upang gawin, ipagawa, o maisakatuparan ang lahat na siyang ipinagagawa, ng wasto at buong husay, na siyang maaari naming magawa
do if we were personally present; and
at gagawin ng sarili kung siyang naririyan; at
HEREBY RATIFYING AND CONFIRMING all that our ATTORNEY-IN-FACT shall lawfully do or cause to be done,
NGAYO’Y TINITIYAK at PINAGTITIBAY ang lahat ng gagawin o isasagawa ng aming kinatawan, sa bisa ng pagtatalaga
under these presents.
na napapaloob sa kasulatang ito.
IN WITNESS WHEREOF, we have hereunto affixed our signature this_______________________, in Tokyo, Japan.
Bilang patunay sa lahat ng ito, kami ay lumalagda dito, ngayong ika-
, sa Tokyo, Japan.
_______________________________
_______________________________
Signature of
Principal/Lagda ng Nagbibigay-Kapangyarihan
Signature of
Principal/Lagda ng Nagbibigay-Kapangyarihan
Identification Document No:____________________________
Identification Document No:____________________________
Expiration Date:______________________________________
Expiration Date:______________________________________
Issuing Authority:_____________________________________
Issuing Authority:_____________________________________
Signed in the presence
of:/Nilagdaan,saksi sina:
Witness 1:________________________________________
Witness 2:_________________________________________

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