Commission on Elections FORM

May 13, 2019

National and Local Elections SPA-P

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, (name of party treasurer) ,party treasurer for the (name of political

party or party-list organization) which fielded candidates and/or participated in the 13
May 2019 Elections, do hereby name, constitute and appoint (name of representative
or agent) , of legal age and a resident of (address of the representative or agent) , to
be my true and lawful attorney-in-fact for me, and in my name, place and stead, to do
and performing the following acts, to wit:

(1) To personally submit to the COMELEC office the party’s Statement of

Contributions and Expenditures and all its required Schedules and supporting
documents; and

(2) To receive any notice, whether in writing or verbally communicated to my

attorney-in-fact, which will then constitute as notice to me in my capacity as
party treasurer.

This special power of attorney, however, does not constitute a grant of authority
to my attorney-in-fact to sign the Statement of Contributions & Expenditures (Form
SCE) and the relevant attachments (Forms A-E), which is personal to me in my capacity
as the party treasurer and cannot be delegated to anyone.

I further declare that any act or thing lawfully done hereunder and within
powers herein stated by my said attorney-in-fact shall be binding on myself.

IN WITNESS WHEREOF, I and my attorney-in-fact hereby set our hands this

(date when this SPA is signed) , in the (place where this SPA is executed) .

(Name of Party Treasurer) (Name of Representative-Agent)

PRINCIPAL ATTORNEY-IN-FACT/AGENT

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

City/Municipality of __________ )S.S.

BEFORE ME, on the date and place above written, personally appeared the
following persons with competent evidence of their identity:

Name ID ID No. Expiry Issuing

Document Date Authority
 Said persons acknowledged under oath to me under penalty of law, that the
whole contents of this document are true and the same are their free and voluntary acts
and deeds.

WITNESS MY HAND AND NOTARIAL SEAL.

Notary Public
Doc. No. : _____
Page No. : _____
Book No.: _____
Series of _____.