ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF OCCIDENTAL MINDORO )
MUNICIPALITY OF MAMBURAO ) S.S.

BEFORE ME, a Notary Public for and in Mamburao, Occ. Mindoro, this ___
day of ___________ 2019, personally appeared:

Name ID Number Date/Place Issued

__________________________ ____________________ __________________
__________________________ ____________________ __________________

Known to me and to me known to be the same person/s who executed the

foregoing instrument and acknowledged to me that the same is
his/her/their free and voluntary act and deed.

This instrument consisting of _______ (___) pages, including the page on

which this acknowledgement is written, has been signed on each and every
page thereof by the concerned party/ies and his/her/their witnesses, and
sealed with my notarial seal.

WITNESS MY HAND AND SEAL, on ___________________ in

Mamburao, Occ. Mindoro.

Doc. No.______;
Page No. ______;
Book No.______;
Series of 2019.