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Revocation of Special Power of Attorney

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REVOCATION OF SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

WHEREAS, under date of _________________, I, _______________________, have


executed a Special Power of Attorney, naming and appointing _________________ as
my true and lawful attorney-in-fact for the purpose/s and with the power set forth in
the instrument which was ratified before Atty. ______________________, Notary
Public in and for ________________, as per Doc. No. ________, Page. No.
__________ Book No. _______________, Series of _____________ of his Notarial
Register; and

NOW, THREFORE, I have revoked, countermanded, annulled and made void, and by
these presents do revoke, countermand, annul and make void the said Special Power
of Attorney and all powers and authorities therein granted and conferred upon said
attorney-in-fact __________________.

IN WITNESS WHEREOF, I have hereunto set my hand at ________________, on


this ______ day of ______________, 20______.

_____________________

(Principal)

SIGNED IN THE PRESENCE OF:

___________________________ ___________________________

ACKNOWLEDGMENT
Republic of thePhilippines)

MakatiCity ) SS.

BEFORE ME, a Notary Public in and in _______________ this _______ day of


_________________, 2010, personally appeared the following:

Name: CTC No./ Date & Place Issue


Passport No.

___________________ ______________ ___________________

all known to me to be the same person who executed by the foregoing instrument and
he/she acknowledged to me that the same is his/her free and voluntary act and deed.

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

Doc. No. _______;

Page No. _______;

Book No. ______;

Series of 20___.

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