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SPECIAL POWER OF ATTORNEY I, NARUTO UZAMAKI, Filipino, of legal age, married and resident of Brgy. Konoha, Leyte, do hereby name, constitute, and appoint my wife, HINATA UZAMAKI, of legal age, Filipino, married and a likewise a resident of Brgy. Konoha, Leyte, to be my true and lawful attorney, for me and in my name, place, and stead, to do and perform the following acts and things to wit: 1. To process, prepare, file the necessary application forms/documents, and to receive for me and in my behalf the EMERGENCY SHELTER ASSISTANCE (more commonly known as ESA) extended by the DSWD to victims of typhoon Yolanda; and 2. To prepare, accomplish and sign any document as may be required in relation to the authority granted to her. HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite or 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, with power of substitution and revocation, hereby, ratifying and confirming all that my said attorney or her substitute shall lawfully do or cause to be done under and by virtue of these presents. IN WITNESS WHEREOF, I have hereunto set my signature this day, ______________ in the City of Tacloban, Republic of the Philippines. NARUTO UZAMAKI Principal IN CONFORME: HINATA UZAMAKI Attorney-in-Fact ACKNOWLEDGMENT REPUBLIC OF THE PHILIPPINES) Tacloban City ) S.S. BEFORE ME, a Notary Public for and in the City of Tacloban, this day, _____________, personally appeared the above named person known to me and to me known to be the same person/s who executed the foregoing SPECIAL POWER OF ATTORNEY consisting of ONE (1) PAGE including the page on which this Acknowledgment is written, and who acknowledged to me that the same is their free and voluntary act and deed. IN WITNESS WHEREOF, I have hereto placed my hand and seal on the date and at the place first above-written. Doc. No.: Page No.: Book No.: Series of 2015

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Special Power of Attorney to allow wife to process and receive the Emergency Shelter Assistance from the Philippine Government.

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Page 1: SPA ESA Sample

SPECIAL POWER OF ATTORNEY

I, NARUTO UZAMAKI, Filipino, of legal age, married and resident of Brgy. Konoha, Leyte, do hereby name, constitute, and appoint my wife, HINATA UZAMAKI, of legal age, Filipino, married and a likewise a resident of Brgy. Konoha, Leyte, to be my true and lawful attorney, for me and in my name, place, and stead, to do and perform the following acts and things to wit:

1. To process, prepare, file the necessary application forms/documents, and to receive for me and in my behalf the EMERGENCY SHELTER ASSISTANCE (more commonly known as ESA) extended by the DSWD to victims of typhoon Yolanda; and

2. To prepare, accomplish and sign any document as may be required in relation to the authority granted to her.

HEREBY GIVING AND GRANTING unto my said attorney full power and authority whatsoever requisite or 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, with power of substitution and revocation, hereby, ratifying and confirming all that my said attorney or her substitute shall lawfully do or cause to be done under and by virtue of these presents. IN WITNESS WHEREOF, I have hereunto set my signature this day, ______________ in the City of Tacloban, Republic of the Philippines.

NARUTO UZAMAKI

Principal IN CONFORME:

HINATA UZAMAKI Attorney-in-Fact

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES) Tacloban City ) S.S. BEFORE ME, a Notary Public for and in the City of Tacloban, this day, _____________, personally appeared the above named person known to me and to me known to be the same person/s who executed the foregoing SPECIAL POWER OF ATTORNEY consisting of ONE (1) PAGE including the page on which this Acknowledgment is written, and who acknowledged to me that the same is their free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereto placed my hand and seal on the date and

at the place first above-written. Doc. No.: Page No.: Book No.: Series of 2015