Professional Documents
Culture Documents
Akarui Technical School Foundation Inc. of San Leonardo, Nueva Ecija represented
by Joepet G. Portana, School Administrator with office at Diversion Road, san Leonardo,
Nueva Ecija, herein referred as to the FIRST PARTY;
Gonzales Hospital, with the hospital address Diversion Road, San Leonardo Nueva
Ecija herein after referred as the SECOND PARTY;
WITHNESSETH
That the SECOND PARTY agrees to accept students from the FIRST PARTY for
MEDICAL and DENTAL Services outlined herein;
That the students of the FIRST PARTY should present proper identification or letter of
referral from the FIRST PARTY or its representative before rendering any form of service by
the SECOND PARTY.
IN WITHNESS WHEREOF, the parties have hereunto set their hands this _______ day of
____________________ ,2018 in _______________, Philippines
This instrument, consisting of two (2) pages including the page of which this
acknowledgement is written and has signed on the left margin of each and every page thereof
by above-named persons and witnesses and sealed with my notairla seal.
IN WITNESS WHEREOF, I have hereunto set my hand, the ______ day __________
20___ year and place above-written.
Doc.No. ______
Page No. ______
Book No. ______
Series _________