SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS: I/We ____________________________, of legal age, Filipino/s, and resident/s of ____________________________________, Philippines, by these presents do hereby name, constitute and appoint, ______________________________, of legal age, Filipino, and a resident of _____________________, Iloilo, Philippines, to be my/our true and lawful AttorneyIn-Fact for me/us and in my/our name, place and stead, to do and perform the following acts and deeds, to wit: 1) To act for me/us, and to exercise substitute parental authority over the person of my/our son/daughter, __________________________ presently a freshman taking up _____________ in the College/School of _________, U.P Visayas, particularly on matters concerning his/her studies and school activities requiring parental guidance and/or approval, or during times of emergency, or in instances when the student is sick, is involved in any untoward incident or accident, or in academic-related activities requiring the presence or permission of parents. 2) To execute, deliver and/or sign, where necessary, such documents as are needed in order to effectuate the above. This authority shall continue to subsist and be effective until expressly revoked by me/us. HEREBY GIVING AND GRANTING unto my/our said Attorney-In-Fact full power and authority to do and perform all and every act and thing necessary and requisite to be done in and about the premises as fully to all intents and purposes as I/we might or could do if personally present. HEREBY AFFIRMING AND CONFIRMING all that my/our said Attorney-In-Fact shall do or has caused to be done by virtue hereof. IN WITNESS WHEREOF, I/we hereunto set my/our hand/s in the City/Municipality of _____________________, Philippines, this ______day of _______________, 20____.

Conforme: ______________________ Attorney-in-Fact Address: ____________________ ____________________

_______________________ Principal _______________________ Principal Signed in the presence of:

__________________ _____________________
Contact Nos. __________________

________________ Updated GIID (Machine Copy)

_____________________

REPUBLIC OF THE PHILIPPINES) City/Municipality of ____________) S.S. ACKNOWLEDGMENT

The principal/s, ____________________________________, appeared in person before me this _____ day of _______________, 20___ in the City/Municipality of _____________________, Philippines, presented to me an integrally complete instrument denominated as a Special Power of Attorney and represented to me that the signature/s thereon was/were voluntarily affixed by him/her/them for the purposes stated therein, and declared that/she/they executed the same as his/her/their free and voluntary act and deed. The identity/ies of the principal/s is/are known to me by his/her/their GIID/s, to wit: _________________________________ _________________________________ WITNESS MY HAND AND SEAL. Doc. No. ______; Page No. ______; Book No. ______; Series of 20____. Notary Public