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Form No. 16
Form No. 16
I do hereby revoke all proxies given to any other person or persons and
hereby ratifies and confirm all that said proxy may lawfully do or course to be done
by virtue thereof.
IN WITNESS WHEREOF, We have hereunto set our hands this 3rd day of
March, 2024 at Calapan City, Oriental Mindoro, Philippines.
ROSARIO C. DIMA
PRINCIPAL/STOCKHOLDER
Accepted by:
DIOSA A. CRUZ
PROXY
___________________ ____________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the Province of Oriental Mindoro,
at Calapan CIty, this 3rd day of March, 2024, personally appeared ROSARIO C.
DIMA with Driver’s License No. D17-12-12345 that will expire on 11/10/2024 and
DIOSA A. CRUZ with Driver’s License No. D16-12-12345 that will expire on
02/18/2026 and all known to me to be the same persons who executed the
foregoing Proxy to Vote at Stockholder’s Meeting and they acknowledged to me
that the same are their free act and voluntary deed.
This instrument consist of two (2) pages, including the page where this
acknowledgment is written, and signed by the parties and witnesses on each and
every page hereto.
WITNESS MY HAND AND SEAL on the date and place first above written.
NOTARY PUBLIC