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ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


QUEZON CITY ) S. s.

ACKNOWLEDGEMENT

BEFORE ME, on this ___ day of _______________________, 2019 at the


_____________________________, personally appeared the following persons with their
respective Competent Evidence of Identity set opposite their names:

NAME COMPETENT EVIDENCE DATE/PLACE OF ISSUE


OF IDENTITY

________________________ _________________________ _________________________

________________________ _________________________ _________________________

________________________ _________________________ _________________________

________________________ _________________________ _________________________

Known to me and to me known to be the same persons who executed the foregoing
Contract consisting of three (3) pages including this page and they acknowledged to me that the
same is their free and voluntary act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Notarial seal on
the date and place first above written.

Doc. No. ________


Page No. ________
Book No. ________
Series of 2019

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