REPUBLIC OF THE PHILIPPINES)

_____________________________) S.S.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the Province and Cities of Cavite, personally
appeared the following persons:

Names of Parties Competent Evidence of Date and Place of Issuance

Identity/Government IDs

both I have identified through their respective Competent Evidence of Identity, and who
represented that their signatures on the foregoing instrument were voluntarily affixed by them for
the purposes stated in the instrument as well as declared that the foregoing instrument is their free
and voluntary act and deed as well as the free act and deed of the corporations herein represented by
them who were duly authorized.

This Instrument consists of ______ page/s, including this page in which this
acknowledgment is written, duly signed by the parties and their instrumental witnesses.

WITNESS MY HAND AND SEAL this _________________________ at Dasmariñas

City, Cavite.

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.