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    HSAC - SPA For Mandatory Conference

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    Brian Almeria
    This document appoints a representative to act on behalf of an individual or individuals who are unable to attend a mediation or mandatory conference due to a specified reason. It grants the representative full power and authority to execute any acts necessary to effectively compromise on behalf of the individual(s), as if they were acting themselves. The document must be signed by the individual(s) appointing the representative and witnessed.

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    HSAC - SPA For Mandatory Conference

    Uploaded by

    Brian Almeria
    157 views2 pages
    This document appoints a representative to act on behalf of an individual or individuals who are unable to attend a mediation or mandatory conference due to a specified reason. It grants the representative full power and authority to execute any acts necessary to effectively compromise on behalf of the individual(s), as if they were acting themselves. The document must be signed by the individual(s) appointing the representative and witnessed.

    Original Description:

    SPA template for mandatory conference in HSAC

    Original Title

    HSAC - SPA for Mandatory Conference

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    This document appoints a representative to act on behalf of an individual or individuals who are unable to attend a mediation or mandatory conference due to a specified reason. It grants the representative full power and authority to execute any acts necessary to effectively compromise on behalf of the individual(s), as if they were acting themselves. The document must be signed by the individual(s) appointing the representative and witnessed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    157 views2 pages

    HSAC - SPA For Mandatory Conference

    Uploaded by

    Brian Almeria
    This document appoints a representative to act on behalf of an individual or individuals who are unable to attend a mediation or mandatory conference due to a specified reason. It grants the representative full power and authority to execute any acts necessary to effectively compromise on behalf of the individual(s), as if they were acting themselves. The document must be signed by the individual(s) appointing the representative and witnessed.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    HSAC Case Form No.

    05

    SPECIAL POWER OF ATTORNEY

    KNOW ALL MEN BY THESE PRESENTS:

    I/We, ____________________________, of legal age, _____________, with


    residence at _____________________________, do hereby appoint, name, and
    constitute, _________________________, likewise of legal age, single/ married,
    with residence at ___________________________________, as my/our true
    legal representative to act for and in my/our name and stead and to represent me
    during the Mediation/ Mandatory Conference on ________________, to enter into
    amicable settlement, to submit to alternative modes of dispute resolution , and to
    make admissions or stipulations of facts and documents without further consultation
    from me/us, for the reason that I/we am/are not physically capable of attending the
    said Mediation/Mandatory Conference due to _________________.

    I/We hereby grant my/our representative full power and authority to execute and
    perform every act necessary to render effective the power to compromise as though
    I/we myself/ourselves have so performed it and hereby approving all that he/she may
    do by virtue of these presents.

    IN WITNESS WHEREOF, I/we hereunto set my/our hand this_____ day of


    ___________, 20_____, in _____________, Philippines.

    Complainant(s)/Respondent(s) Representative

    Witness Witness
    REPUBLIC OF THE PHILIPPINES)
    ________________________ ) S.S.

    ACKNOWLEDGEMENT

    BEFORE ME, a Notary Public for and in,


    _______________________________, Philippines, personally appeared
    _________________________, with _____________________________
    issued at ______________________ on _______________________,
    known to me and to me known to be the same person(s) who executed the foregoing
    Special Power of Attorney and he/she/they acknowledged to me that the same is
    his/her/their voluntary act and deed.

    This document is a Special Power of Attorney consisting of two (2) pages including this
    page on which this Acknowledgement is written.

    IN WITNESS WHEREOF, I have affixed my signature and seal on the date and place
    first above written.

    Doc. No. _____; Notary Public


    Page No. _____;
    Book No. _____;
    Series of _____.

    SPA FOR MANDATORY CONFERENCE || Page 2

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