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ATTESTATION

I, ________________, of legal age, single, Filipino and resident of


__________________, Philippines after being duly sworn in accordance
with law, do hereby depose and say that:

1. I faithfully recorded or caused to be recorded the questions I asked


and the corresponding answers of ___________ on ____________ at
_____________, Philippines; and

2. Neither I nor any other person, then present or assisting me, coached
__________________ regarding her answers.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this


__________________, at ____________, Philippines.

________________
Affiant

SUBSCRIBED AND SWORN to before me this _______________ at


_____________, Philippines. Affiant identified by the undersigned through
her Integrated Bar of the Philippines Identification Card bearing her Roll of
Attorneys No. ______, that she is the same person who personally signed
the foregoing Attestation before me and acknowledged that she executed
the same.

Doc. No. ____;


Page No. ____;
Book No. ___;
Series of 2022.

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