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41 REFERENCES eer trey seg aH ERE
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Apa
He TEL.
|ARACELI P, PICARDAL CNVSCALUBIANLEYTE | 09296116495,
BBILIRAN PROVINGE STATE.
MINERVA E.SARIOA iavenarre Nava crux un) (oost7esesoo
lossy L LAGADAY ‘TACLOBAN CITY (09984580917
T cedars ndar ea Wal have posonaly sronplanes Ws Personal Data Shoal whch 8 os, coed and
caglee statement puerto the provsons of pertinent lans, ues and regains ofthe Repub ofthe
Phigpines.| here te agency headautorized roprocerttve overall the cntanisstaadhewin, |
eqee thal any mistepresension made in tis docunert and is atachnonts shall cause the lng of
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