ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

____________________________) S.S

BEFORE ME, a Notary Public for and in ___________________________, personally

appeared the following:

Name Any Valid Government Date & Place Issued /

Issued IDs Expiration Date

known to me to be the same persons who executed the foregoing instrument and
acknowledged to me that the same is their own free voluntary act and deed.

This instrument consisting of ____ (__) pages including this page whereon the
acknowledgement is written and have been signed by the parties on each and every
page thereof and referred to as ______________________________.

Witness my hand and Notarial seal on __________________.

NOTARY PUBLIC

Doc. No. __________

Page No. __________
Book No. __________
Series of 20__.

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