ACKNOWLEDGEMENT RECEIPT

Received from, a corporation organized and existing under and by virtue of the laws of
the Philippines, represented by its authorized person the amount of_________
(P____________) in cash representing the FULL PAYMENT for:

______, () COMMON SHARES of Corporation

(PERSON RECEIVING PAYMENT)

WITNESS:

   
_______________   _______________
Witness   Witness

SUBSCRIBED AND SWORN TO before me this ______________, at

______________City, Philippines, Affiant exhibited to me his Government issued ID No.
______________.

Doc. No. ____;

Page No.____;
Book No. ____;
Series of 2021.