You are on page 1of 1

2x2 ID pictures

________________________________
PALUWAGAN AGREEMENT

For value receiver, I ________________________________________________ age ____


Civil status ________ current contact number ________________ and a resident of
______________________________. Make commitment to pay 500 pesos every fifteen days.
If able to receive the unit ____________________ early or ahead of time, I still have to pay until
10 months is over.
IN WITNESS WHEREOF, I set my hand to affix my signature as a result of the foregoing.

__________________________ Date of Release: _________


Signature over printed name
Receiver

NIKKI A. CONSTANTINO
Signature of Handler

You might also like