SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, , of legal age, Filipino, and a resident of, do hereby appoint, name and
constitute [], also of legal age, Filipino, and a resident of, to be my true and
lawful attorney-in-fact for me and in my name, place and stead, to do and
perform the following acts, to wit:

1. To transact with [Name of School] in all school affairs concerning my

minor daughter [Name of Daughter], including but not limited to
matters such as: her academic record and standing, disciplinary actions
by the school and matters on my daughter’s conduct, extra-curricular
activities, parent-teacher conferences, administrative matters,
obligations and transactions, and all other issues related thereto.

2. To sign and execute papers and documents which may be deemed

necessary for the purpose aforementioned and generally to do or
perform any act or deed necessary that may be required in furtherance
of this authority

HEREBY GIVING AND GRANTING my said attorney full power and

authority to make, sign, execute and deliver any and all documents as may be
necessary for the implementation and furtherance of such power and authority
as provided herein and to do and perform all and every act requisite or necessary
to carry into effect the foregoing authorities 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 hereby ratifying and confirming all that my said attorney or
his substitute shall lawfully do, have done or cause to be done by virtue hereof.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_____ day of _____________________, 2018 at _______________________________.

__________________________________

Principal

CONFORME:

Attorney-in-Fact

SIGNED IN THE PRESENCE OF:

1
 ______________________________ ______________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

_________________ ) S.S.

BEFORE ME, A NOTARY PUBLIC, for and in _______________ this ___

day of 2018 in ___________, personally appeared the Principal with his
respective Valid Identification _________________ issued on _____ at_____
shown opposite his respective name known to me and to me known to be the
same person who executed the foregoing Special Power of Attorney and he
acknowledged to me that the same is her free and voluntary act and free will.

WITNESS MY HAND AND SEAL on the date and place first above
written.

Doc. No.
Page No.
Book No.
Series of 2018.