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SIGNED IN THE PRESENCE OF:
ACKNOWLEDGMENT
Republic of the Philippines )
Province of Laguna ) S.S.
BEFORE ME, a Notary Public for and in the Province of Laguna, personally appeared
With ID CARD NO. issued by
, as a proof of his identity, known to me and to me known to be the same
Is his free and voluntary act and deed
WITNESS MY HAND AND SEAL on to date and place first above written.