ACKNOWLEDGE OF INDEBTEDNESS

AND PROMISSORY NOTE

KNOW BY ALL MEN PRESENT:

That I ______________________________ of legal age, Filipino citizen,
single/married with residence and postal address at
___________________________________, acknowledge my indebted in the amount of
___________________________Philippine Currency from __________________________
likewise legal age, Filipino Citizen, single and with Philippine postal address at
_____________________________________.

Demand of Payment is deemed waived.

In WITNESS WHEREOF, we have hereunto set our hands and affixed our signitures this

___________________________________ at Olongapo City.

_________________________ _________________________

Signature-Over Printed Name Signature- Over Printed Name

-Promisssor- -Lender-

I.D. No. I.D. No.

SUBSCRIBED AND SWORN before me this 2nd of April, 2016 at Olongapo City,

Philippines. Parties presented to me their Identification Card above mentioned.

Doc.No __________
Page.No __________
Book.No__________
Series of __________