SPA For PERA v2

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SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

That, I, _______ , Filipino, of legal age, with residence and postal


address at ___________________________________________________________________________________,
do NAME, APPOINT AND CONSTITUTE, as I have NAMED, APPOINTED, AND CONSTITUTED, my legal Spouse/
Child, ________________________________________________ Filipino, of legal age with residence and postal
address at ____________________________________________________________________________________
to be my true and lawful Attorney-in-Fact singly for me and in my name, place and stead, to act as the
administrator of my Personal Equity and Retirement Account (PERA) to be opened with BPI Asset
Management and Trust Corporation (“BPI AMTC”). As administrator of my PERA, my Attorney-in-Fact shall perform
the following acts and things, namely:

(1) To apply for/open and operate my PERA (the “Account”) with BPI AMTC under such
terms and conditions acceptable to the Trust Corp., which Account is in my name;
(2) To deposit or invest monies and/or funds in any amount and to withdraw the same by
way of credit to my nominated BPI settlement account, or by check; and to operate,
deposit to or withdraw from my Account, as well as to sign debit and credit
memos/instructions and all other instruments and documents;
(3) To sign, execute and deliver any and all documentary requirements that may be required
by BPI AMTC that is necessary for the opening, operation and withdrawal of any amount
in the Account;
(4) To perform any or all acts necessary for the continuance and/or termination of my
Account with BPI AMTC.

HEREBY GIVING AND GRANTING unto my said ATTORNEY-IN-FACT full power and authority to do and
perform every act and thing whatsoever requisite or necessary to be done in or about the premises as fully to all intents
and purposes as I might or could lawfully do if personally present, and HEREBY RATIFYING AND CONFIRMING all that
my said ATTORNEY-IN-FACT, shall lawfully do or cause to be done by virtue of these presents.

IN WITNESS WHEREOF, I have hereunto set my on this _________day of


____________________at____________________________, Philippines.

__________________________________
Signature over Printed Name of
Overseas Filipino (OF) PERA Contributor

With Conformity:

________________________________________
Spouse/ Child of OF as Attorney-in-Fact for PERA

SIGNED IN THE PRESENCE OF:

______________________________ ___________________________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
) S.S.

BEFORE ME, a Notary Public for and in the City/ Municipality of _________________, personally appeared the
following persons with their respective Government Issued IDs with ID No./s.:

NAME GOVERNMENT ISSUED ID DATE/PLACE OF ISSUE

known to me and to me known to be the same persons who executed the foregoing instrument, and he/she/they
acknowledged to me that the same is his/her/their own free and voluntary act and deed.

This Special Power of Attorney consists of two (2) pages including this page where the acknowledgment is
signed by the parties and their instrumental witnesses at the bottom hereof and on the left margin of the other
pages and sealed with my notarial seal.

WITNESS MY HAND AND SEAL this _______ day of ____________________, __________ in


______________________.

Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of ______.

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