SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _______________________ of legal age, Filipino, single and a resident of _______________, Davao
City, Philippines, do hereby by these presents name, constitute, and appoint
________________________, of legal age, Filipino, married and a resident of Davao City, 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:
a. To transact with the Supreme Court of the Philippines located at Padre Faura St., Ermita, Manila
for purposes of requesting for Certificate of Good Standing for notarial commission purposes
with the following details:
FULL NAME:
ROLL NUMBER:
COMPLETE
MAILING ADDRESS:
CONTACT NO.:
b. To receive and/or negotiate for the release of said Certificate of Good Standing for Notarial
Commission purposes;
c. To sign, execute and accomplish the necessary form or pertinent documents and other writings of
whatever nature or kind which needed my consent or personal authority, with any and all third
persons, concerns and entities, to pay legal fees and such other related acts and which may be
necessary or required in performing and consummating the aforesaid acts;
HEREBY GIVING AND GRANTING unto my said attorney-in-fact full powers and authority to do
and perform all and every act requisite or necessary to carry into effect the foregoing authority, as fully to
all intents and purposes as I might or could lawfully do if personally present, with full power of
substitution and revocation; and ratifying and confirming all that my said Attorney-In-Fact shall lawfully
do or cause to be done by virtue of hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this __________________________ in the
City of Davao, Philippines.
______________________________________
DRIVER’S LICENSE ID: ____________________
SIGNED IN THE PRESENCE OF:
________________________ ________________________
ACKNOWLEDGMENT
Republic of the Philippines )
CITYOFDAVAO ) S.S.
X - - - - - - - - - - - - - - - - - - -X
BEFORE ME, this _____________________in the City of Davao, appeared __________________ exhibiting to
me his competent proof of identity above stated who represented to me that she the same person who executed the
foregoing instrument, and they acknowledged to me that the same is her act and deed.
In witness whereof, I have hereunto set my hand, the day, year and place above written.
Doc. No.: ________:
Page No.: ________:
Book No. ________;
Series of 2022.