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MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENT:

This agreement was made and entered into by and between:

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;

1. Emergency cases due to accident, sudden illness, etc.


2. On call for medical attention in emergency cases during regular class hours
3. Consultation and general oral prophylaxis/ check-up twice a year.

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

For Gonzales Hospital For Akarui technical School Foundation Inc

_____________________________ Joepet G. Portana


Second Party First party
ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES


Province of Nueva Ecija ) S.S.
x____________________________x

BEFORE ME, this _____ day of _________________ 20__in __________________,


Nueva Ecija personally appeared the above-mentioned parties, known to me to be the same
persons who executed the foregoing instrument and acknowledgement to me that the same as
their free act and deed.

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 _________

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