INDEMNITY AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

__________________________, a construction firm duly licensed,

organized and existing by virtue of the laws of the Republic of the
Philippines herein represented by _______________________, of legal
age, single/married, Filipino and a resident of
_____________________________t, Philippines, after having been sworn
to in accordance with law do hereby depose and state;

That the ____________________________ is a holder of Passbook

Saving’s Account with number _____________________ with the
_________________________________________ with business address at
_____________________________________;

I further agree to indemnify

____________________________________(Bank) with business address
_______________________________ for whatever damage, or prejudice it
may suffer as a consequence on the replacement of the lost passbook and
hereby undertake any claims and all responsibilities, risks and other
problems that would arise on the lost passbook with the aforementioned
Bank.

IN WITNESS WHEREOF, I hereunto set our hands this _____th day of

____________________________ in
_______________________________, Philippines.

_________________________________
Name of Company

BY: (Representative)_____________________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

DONE IN ____________________ ) S.C.

BEFORE ME, a Notary public for and ____________________,

Philippines, came and appeared __________________________ with
his/her identification cards numbers written below his/her name, known
to me and to me known to be the same persons who executed the foregoing
instrument relating to indemnity agreement, which he/she acknowledged
before me as his/her free and voluntary act and deed

Doc No. ___;

Page No.___;
Book No.___;
Series of 2012.