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SPA MQuilop

This special power of attorney appoints the document signer's mother as her lawful attorney to act on her behalf in a parental capacity for her child. It grants the mother authority to provide medical care and consent, enroll the child in school, obtain aid and support for the child's welfare, and secure travel documents for the child. The power of attorney is valid for one year from the date of notarization.

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Paui Rodriguez
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363 views2 pages

SPA MQuilop

This special power of attorney appoints the document signer's mother as her lawful attorney to act on her behalf in a parental capacity for her child. It grants the mother authority to provide medical care and consent, enroll the child in school, obtain aid and support for the child's welfare, and secure travel documents for the child. The power of attorney is valid for one year from the date of notarization.

Uploaded by

Paui Rodriguez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SPECIALPOWEROFATTORNEY

KNOWALLMENBYTHESEPRESENTS:

I, (insertdetailshere),oflegalage,Filipino, withaddressat (insertdetailshere),dohereby


name,constituteandappoint(insertdetailshere),mymother,withaddressat(insertdetailshere),tobe
mytrueandlawfulattorney,forandinmyname,placeandstead,andformyownbenefit,todoallacts
necessary,towit:

1.Toperformandactasandformeinaparentalcapacitytotheabovementionedchild;

2.Togiveconsentandpermissionforanykindofmedicalcareandtreatment,andtosignany
papersthatareneededtohavetheabovementionedchildadmittedtoahospitalforsuchpurpose,oras
mayberequiredtomaintainthehealthoftheabovementionedchild.

3.Togiveconsentandpermissionforenrollmentinandadmissiontoschoolandtoresolveany
problemsthat mayarisefromschool attendance,andtosignanypapersthat are necessaryfor such
purposeorsignotherdocumentsrelatingtothechild'swelfareatschool.

4.Toperformanyactthatisnecessarytoobtainrelieforaidthatmaybenefittheabovementioned
child.

5.Performanyotheractsforsupport,health,andgeneralcareoftheabovementionedchildasmay
berequiredornecessary.

6.ThisSpecialPowerofAttorney,appointing(insert details here) asmyagentandattorneyin


factperformingandactingformeinaparentalcapacityformychild[LegalNameofChild]willbe
revokedautomaticallywithinone(1)yearfromdateofnotarizationasindicatedbelow.

7.Thatitisnotatallmyintentiontorelinquishmyfullparentalrightstotheabovementioned
child.

8. To give consent and permission and the authority to sign in my behalf to secure DSWD
clearanceallowingmychildtotravelalonetocometomeorherauntabroad;

9.Toaccompanymychildtravellingabroad

Withfullpowerandauthoritytomake,sign,seal,executeanddeliveranyandalldocuments,and
otherwritingsofwhatevernatureorkindinconnectionthereto;andingeneral,todoallotheracts,deeds,
matters,andthingswhatsoeverinfurtheranceofthepowerthusgranted;

HEREBYGIVINGANDGRANTINGuntooursaidattorneyfullpowerandauthoritytodoand
performallandeveryactrequisiteornecessarytocarryintoeffecttheforegoingauthorities,asfullytoall
intents and purposes through its authorized representatives might or could lawfully do if personally
present,withfullpowerofsubstitutionandrevocation,andherebyratifyingandconfirmingallthatthe
saidattorneysshalllawfullydoorcausetobedonebyvirtuehereof.

INWITNESSWHEREOF,Ihavehereuntosetmyhandthis_______dayof__________,2016,
at________________,Philippines.

MARYCARQUILOP

1
SIGNEDINTHEPRESENCEOF:

__________________________ _________________________

ACKNOWLEDGEMENT

REPUBLICOFTHEPHILIPPINES)
CITYOFTAGUIG )S.S.

BEFOREME,aNotaryPublicforandintheabovejurisdiction,this______dayof_______________,
2016personallycomeandappeared:

NAME IDENTIFICATION DATE/PLACEOF


DOCUMENTPRESENTED ISSUE
MARYCARQUILOP

knowntomeandtomeknowntobethesamepersonwhoexecutedtheforegoinginstrumentandthey
acknowledgedbeforemethatthesameistheirfreeandvoluntaryactanddeedandthatofthecorporation
whichtheyrepresent.

WITNESSMYHANDANDSEALonthedateandattheplacefirstabovewritten.

Doc.No.________;
PageNo.________;
BookNo._______;
Seriesof2016.

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