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SUBSCRIBED AND SWORN to before me a notary public for and in the City of Cebu, this

______________________, Affiant who is personally known to me and who signed the above
Certification in my presence and swore as to said document and he/she understood the contents
thereof and that the same is his/her free and voluntary act and deed.

Witness my hand and seal on the date and place abovementioned.

Doc. No. : _______;


Page No. : _______;
Book No. : _______;
Series of : _______.

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