SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _______________________________, of legal age, single/married, Filipino, with residence at _________________________________, Philippines do hereby NAME, CONSTITUTE, APPOINT AND AUTHORIZE FUNDACION GRAMEN PILIPINAS, INC. as my true and lawful Attorney-In-Fact, for me and in my name, place and stead, to do and perform the following act, to wit:

1. To deduct from my salary an amount intended for the payment of my salary loan until my loan is fully paid;

2. To sign papers and documents related to the said act;3. To do any act which carry this authority into effect.

HEREBY GIVING AND GRANTING unto my said Attorney full powers and authority to do and perform all and every act requisite or necessary to carry into effect the foregoing authority to all intents and purposes as I might or could lawfully do if personally present, with full power of substitution and revocation, and hereby ratifying and confirming all that my said attorney shall lawfully do or cause to be done by virtue thereof.

IN WITNESS WHEREOF, I have hereunto set my hand this ____________ at Catarman, Northern Samar, Philippines.

__________________________ Principal

Signed in the presence of:

___________________ ___________________Witness Witness

Republic of the Philippines Province of Northern Samar S.S. Municipality of Catarman

BEFORE ME, this _____________ at Catarman, Northern Samar personally appeared __________________________ exhibiting to me his/her _____ _________________________, as competent proof of identity, known to me to be the same person who executed the foregoing Special Power of Attorney which he/she acknowledged to me that the same is his/her free and voluntary act and deed.

Doc. No. ____;Page No. ____;Book No. ____;Series of 2014.