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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, ______________________, of legal age, Filipino and with business


address at ________________________________________________________,
do hereby APPOINT, NAME and CONSTITUTE, ATTY. JEROME CHRISTOPHER
G. LEYNES, his PARTNERS or ASSOCIATES with office address at Unit 104,
G/F Mission Garden Condominium, 59 Scout Ybardolaza Street corner Sgt.
Esguerra Avenue, Brgy. South Triangle, Quezon City 1103, to be my true and
lawful attorney-in-fact and to do and perform the following:

1. To initiate and/or file in my behalf the application for the issuance and
renewal of a Certificate of Public Convenience (CPC) to operate a Transportation
Network Vehicle Service (TNVS) before the Land Transportation Franchising and
Regulatory Board (LTFRB);

2. To appear and represent me in the preliminary conference,


presentation of formal offer of evidence, hearing or any proceedings in the
LTFRB regarding the aforesaid application and/or renewal;

3. To receive the decision as well as other notices and processes of the


Honorable Board regarding the aforementioned application and/or renewal; and

4. To perform any act or sign or deliver any document, and to perform


such other matters as required and may aid in the prompt consum mation of the
foregoing authority.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full


power and authority to do and perform any and every act and thing whatsoever
requisite, necessary or proper to be done in and about the premises as fully to all
intents and purposes as I might or could lawfully do if personally present and
acting in person; and

HEREBY RATIFYING AND CONFIRMING all that my said attorney-in-


fact shall lawfully do and cause to be done under and by virtue of these
presents.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of


____________, 201_ at _________________________.

_____________________
Principal

With my marital conformity:

________________________
Spouse
Page - 2 -

SIGNED IN THE PRESENCE OF:

________________________ ________________________
Witness Witness

REPUBLIC OF THE PHILIPPINES)


CITY OF __________________) S.S.

Personally came and appeared before me this ___ day of ______ 201__,
at ___________________, with Government Issued ID
_____________________, known to me and to me known to be the same
person who executed the foregoing instrument, and acknowledged that the same
is his/her free act and voluntary deed.

This instrument consisting of ___ pages, including this whereon the


acknowledgment is written, has been signed by the party and witnesses on each
and every page thereof.

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

NOTARY PUBLIC

Doc. No. ___;


Page No. ___;
Book No. ___;
Series of 201_.

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