REPUBLIC OF THE PHILIPPINES )

_____________________ ) S.S

BEFORE ME, a Notary Public in and for_________________ Metro Manila, Philippines,

personally appeared___________________ with his community Tax Certificate No. ________________
issued with his Community Tax Certificate No. ________________ Issued on _____________ at
______________, both known to me and to me known to be the same persons who executed the
foregoing instruments , and the acknowledged to me that the same is their free and voluntary act and
the deed of the corporation/ entities they respectively represent.

This instrument, consisting of ________________ pages, including the page where this
acknowledgement is written, has been signed by the parties and their respective instrumental witnesses
on each and every page hereof.

IN WITNESS WHEREOF, etc.

Doc. No.___
Page No.___
Book No.___
Series of (year)