SUBSCRIBED AND SWORN TO BEFORE ME this ____th

day of June 2014 at Cebu City, Philippines. I have personally

examined the affiant and that I am satisfied that he understood
his manifestation and executed the same voluntarily. He showed
to me his competent evidence of ___________________ issued by
_____________ and valid until ________________.

Doc. No._____;
Page No._____;
Book No._____;
Series of 2014.