Republic of the Philippines }

___ }s.s.

BEFORE ME, a notary public in and for___, personally appeared___ and ___, who are
both personally known to me, presented to me the above document ___ consisting of three pages
including this page on which the Acknowledgment is written, and represented to me that the
signatures on the instrument were voluntarily affixed by them for the purposes stated in the
instrument, and declared that they executed the instrument as their free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal this
___ at ___.