PROXY

KNOW ALL MEN BY THESE PRESENTS:

_____________, Filipino, of legal age and a resident of ________________ and a

stockholder of ______________ (the “Company”), hereby constitutes and appoints
_______________, Filipino, of legal age and a resident of __________________, as my true
and lawful proxy, with right of substitution and revocation, to attend any and all meetings
of the shareholders of the Company and any adjournments thereof to be held hereafter,
and to vote the __________________ of the common stock of the Company standing in my
name in the books of the Company on any and all matters that may be taken up in the
same meetings.
This proxy is irrevocable being an agency coupled with an interest under Article
1927 of the Civil Code of the Philippines.
If I have previously executed a proxy, or proxies, in favor of a person, persons or
entity other than that named above, this present instrument shall be notice to him/her and
to the Corporate Secretary of the Company of the cancellation of said previous proxy or
proxies.

IN WITNESS WHEREOF, I have caused this Proxy to be signed this ____ day of
_____________ at _____________.

_____________________
(name)

SIGNED IN THE PRESENCE OF:

___________________________ ___________________________
 ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

CITY OF ) S.S.

BEFORE ME, a Notary Public for and in the above jurisdiction this ______ day of
___________, personally appeared the following:

Name Competent Evidence of Date & Place of Issuance

Identity

known to me and by me known to be the same persons who executed the foregoing
instrument and they acknowledged to me that the same is their free and voluntary act
and deed as well as that of the corporations represented herein.

This instrument refers to the Proxy and consists of ____ (__) pages, excluding this
page where the acknowledgement is written.

WITNESS MY HAND AND SEAL at the place and on the date above written.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2018.