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    SPECIAL POWER OF ATTORNEY Birth BLANK

    Uploaded by

    Shey Arca
    This document appoints [name] as the attorney-in-fact for [name] to process the late registration of their birth certificate with the Local Civil Registry of Quezon City, Philippines. The attorney is authorized to file the application, request and receive the original birth certificate, and perform any other acts necessary to carry out these powers. The principal agrees to ratify all actions taken by the attorney under this power of attorney.

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    © All Rights Reserved
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    SPECIAL POWER OF ATTORNEY Birth BLANK

    Uploaded by

    Shey Arca
    150 views2 pages
    This document appoints [name] as the attorney-in-fact for [name] to process the late registration of their birth certificate with the Local Civil Registry of Quezon City, Philippines. The attorney is authorized to file the application, request and receive the original birth certificate, and perform any other acts necessary to carry out these powers. The principal agrees to ratify all actions taken by the attorney under this power of attorney.

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    SPECIAL POWER OF ATTORNEY birth BLANK

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    This document appoints [name] as the attorney-in-fact for [name] to process the late registration of their birth certificate with the Local Civil Registry of Quezon City, Philippines. The attorney is authorized to file the application, request and receive the original birth certificate, and perform any other acts necessary to carry out these powers. The principal agrees to ratify all actions taken by the attorney under this power of attorney.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    150 views2 pages

    SPECIAL POWER OF ATTORNEY Birth BLANK

    Uploaded by

    Shey Arca
    This document appoints [name] as the attorney-in-fact for [name] to process the late registration of their birth certificate with the Local Civil Registry of Quezon City, Philippines. The attorney is authorized to file the application, request and receive the original birth certificate, and perform any other acts necessary to carry out these powers. The principal agrees to ratify all actions taken by the attorney under this power of attorney.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    SPECIAL POWER OF ATTORNEY

    KNOW ALL MEN BY THESE PRESENTS:

    That I, ____________________________________, of legal age, Filipino citizen, with


    residence at __________________________________________________________________,
    by these presents hereby constitute, name and appoint __________________________ of legal
    age, and residing at _________________________________________________, to be my true
    and lawful attorney, to act on my behalf and in my name, to execute and perform all or any of the
    following acts, deeds, matters and thing, in connection with the application and procurement of
    my birth certificate to wit:

    1. To process the filing of application for the late registration of my birth certificate in the
    Local Civil Registry of Quezon City, Metro Manila;

    2. To request, claim, and receive the original copy of my birth certificate after its
    registration from the Local Civil Registry, Philippine Statistic Authority (PSA), or
    appropriate government agency.

    HEREBY GIVING AND GRANTING unto said attorney full power and authority to do
    and perform all and every act requisite or necessary to carry into effect the foregoing powers
    as fully to all intents and purposes as I might or could lawfully do if personally present, with
    full power of substitution or revocation, and hereby ratifying and confirming all that my said
    attorney or her substitute shall lawfully do or cause to be done by virtue hereof.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of


    ___________ 2023 in the City of __________________.

    ___________________________________
    Principal

    CONFORME: _____________________

    Signed in the presence of:

    __________________________ __________________________
    Witness Witness
    ACKNOWLEDGEMENT

    Republic of the Philippines)


    ______________________) S.S.

    BEFORE ME, duly commissioned and qualified, personally appeared


    ________________________ having exhibited to me his/her Gov’t Issued I.D. No.
    ______________________________ issued on _______________________ at
    ______________________________, known to me and to me known to be the same person who
    executed the foregoing instrument and acknowledged to me that the same is his/her free and
    voluntary act and deed, together with two instrumental witnesses, on this ________ day of
    ________________ 2023 at ______________________________________.

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

    Doc. No.: ________


    Page No.: ________
    Book No.: _______
    Series of 20 ______

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