Republic of the Philippines )

City of ) S.S.

AFFIRMATION

BEFORE ME, this (date) in (City of ), personally appeared

(Name) with (ID document) issued at (Place of Issuance) on (Date of
Issuance) and avowed under penalty of law to the whole truth of the
contents of the instrument or document he presented to me.

WITNESS MY HAND AND SEAL at the place and date above

written.

ATTY. JULIAN CRISOSTOMO

Notary Public for Manila
Unit 1, X Building, Manila
Appointment No. 123, Until
December 31, 2019
IBP No. 123456; 01/10/10 - Manila
PTR No. 123456; 01/10/10 -
Manila
Roll No. 123456 - 4/20/06
MCLE No. I -0234; 09/09/16
MCLE No. II - 0056; 09/09/16
Serial No. Of Commission M-123

Doc. No. 123

Page No. 123
Book No. 123
Series of 2019