REPUBLIC OF THE PHILIPPINES )

PROVINCE OF )
MUNICIPALITY/CITY OF ) S. S

BEFORE ME, this _____ day of _______ 2022 in the Municipality/City of ________,
Province of ____________, Philippines, personally appeared ______________, representing to
be the President (or Manager) of ___________, known to me to be the same person who
executed the foregoing instrument for or in behalf of the said corporation, and he acknowledged
to me that the same is the corporate act and deed of __________, and that he is duly authorized
to sign the same. The said ________ exhibited to me (type of ID) as well as that of the
corporation which he/she represents, as follows, respectively, to wit: (type of ID and number of
representative); and (type of ID and ID number of the corporation).

This instrument, consisting of _____ pages, including the page on which this
acknowledgement is written, has been signed on the left margin of each and every page thereof
by ____________ and his witnesses and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year and place above
written.

Doc No.
Page No.
Book No.
Series of 2022