POWER OF ATTORNEY No.

___________

This Power of Attorney granted on this, the ________________ day of _________________ at

_______________________

BY

__________, residing at____________________________________________________________

__________________________________________________________________________________________
_________________________ (‘Grantor(s)’)

IN FAVOUR OF

_______________, citizen of ________________________, passport Code: ___________________, date of

issue: ______________________, date of birth: ____________________, residing at: _________________
(‘Grantee’ or ‘Attorney’)

WHEREAS:

A. The Grantor(s) maintain(s) the following resident bank account(s), opened in

the___________________________, ______________ (‘the Bank’) at its Branch(es) mentioned
below:

Account Number(s) Branch(es)

_______________________________________
____________________________
_______________________________________

____________________________

____________________________

(hereinafter collectively referred to as ‘Account(s)’

B. For the purpose of managing and operating the said Account(s), the Grantor(s) is/are desirous of appointing
the Grantee as his/ her/their true and lawful Attorney in the manner hereinafter appearing.

NOW KNOW YE ALL AND THESE PRESENTS WITNESSETH THAT I/WE, the said Grantor(s) do/each of
us doth hereby nominate, constitute and appoint ____________, citizen of the _______________, passport ___,
date of issue: ___________, date of birth: ____________, residing at: ___________________, (hereinafter
called the ‘Attorney’) as my/our true and lawful Attorney for me/us and on my/our behalf to do all or any of the
following acts, deeds, matters and things and to exercise all or any of the powers and authorities hereby
conferred, that is to say:

i. To operate the existing Accounts (hereinabove mentioned) in my/our name(s), and to do all such acts
which are incidental to operation of the said Accounts, including, to sign and endorse all cheques,
drafts, slips, bills of exchange, receipts, electronic transfers, negotiable instruments and dividend
warrants drawn in the name of the Grantor and to be deposited into the said Account(s) and to receive
payments in respect of the same, accept and receive money orders and telegraphic transfer/NEFT
 transfer/RTGS transfer of moneys in my/our name(s) for the benefit of and/or relating to the said
Account(s) and for the said purpose to execute the necessary deeds, documents or transfer deeds of
forms;
ii. To certify the correctness of the entries/records/statements in relation to the said Accounts;
iii. To apply to the Central Bank of the _______________ and/or any other authority, Governmental,
regulatory, administrative, judicial or otherwise, for the operation of the said Account(s) and dealing
with the moneys lying to the credit of the said Account(s) and for the purpose to execute any deed,
document, writing or application and to do all acts and things required and may be deemed necessary;
iv. To enter into, make, sign, seal execute, deliver, acknowledge and perform any contract, agreement,
deed writing or thing that may in the opinion of my/our said Attorney be necessary or proper to be
entered into, made, signed, sealed, executed, delivered, acknowledged or performed for effectuating the
purposes aforesaid or any of them and for all or any of the purposes of these presents to use my/our
name(s);

C. Notwithstanding the rights/powers granted to the Attorney hereinabove, it is hereby clarified that, with
respect to NRE/NRO Account(s), the rights/powers of the Attorney shall be subject to the following restrictions:

1. The authority shall be granted on both domestic and transnational payments and all payments that
will be deemed as necessary and important for Attorney under this Power of Attorney;
2. The operations of the said Account(s) authorized by this Power of Attorney will not be allowed for
the purpose of making gifts on behalf of the Grantor;
3. All communications/instruments/documents/deeds or otherwise to be signed by the Attorney on
my/our behalf, in exercise of the powers granted by this Power of Attorney, shall signed after
mentioning ‘POA Holder’ or ‘Constituted Attorney’ of the Accountholder. The Bank may, at its
discretion, accept or reject such communications/instruments/documents/deeds as the case may be,
where the Attorney has not signed mentioning ‘POA Holder’ or ‘Constituted Attorney’.
4. The Attorney shall, while acting under this Power of Attorney, exercise his/her powers herein in
accordance with and in compliance of the laws, rules and regulations as may for time to time be
prescribed by the Government of Philippines acting through the Central Bank of the ___________
or any other statutory or regulatory authority.
5. Any operation of the said Account by the Attorney, including instructions of any nature involving
the debit of my/our account or any actions as hereinabove mentioned, will be binding on me/us.
6. The Bank is entitled to rely upon any instructions/directions given by the Attorney in relation to
the said Account, including any payment/withdrawal instructions, and is requested to act on the
said instructions received from the Attorney.
7. This Power of Attorney shall continue to be in force and/or legal validity for the period of 3 years
and/or until it is revoked before the end of its legal validity by me/us by prior notice in writing to
the Bank. I/We declare that the Bank will be discharged from all the liabilities arising out of acting
on the strength of this Power of Attorney till a notice of such revocations is received by the Bank.
This Power of Attorney, if not revoked in my/our lifetime, shall be binding upon my/our
estate/legal representatives/successors until the written notice of my/our death is received by the
Bank.

AND/I/WE DO HEREBY for myself/ourselves, my/our heirs, executors and administrators agree to ratify and
confirm whatever my/our said Attorney shall do or lawfully cause to be done in the premises by virtue of the
premises aforesaid.

IN WITNESS WHEREOF, I/We the said

_____________________________________________________________________________________ have
hereunto to set my/our respective hand(s) on the __________________ day of __________________.

SIGNED SEALED AND DELIVERED

(By the withinnamed ) ........................................................................

........................................................................ In the presence of ) ........................................................................

SPECIMEN SIGNATURE OF THE CONSTITUTED ATTORNEY, ) MR.

______________________________ )