ATTESTATION

I, HAZEL FAYE B. PECONADA, Manager of Parkland Suites & Restobar and duly authorized
representative do hereby declare and attest to the following:

That Wilter Gison of Barangay Mateo who is working as our Kitchen Steward is among the list
of the A4 category and priority population and is eligible to receive the COVID 19 Vaccine: that
all matters set forth duly verified by me and to best of my knowledge and belief are true and
correct.

Done this 4th day of October, 2021 at Parkland Suites & Restobar, Kidapawan City.

Attested By:

HAZEL FAYE B. PECONADA

Manager