ACKNOWLEDGMENTS AND JURAT---

Form No. 1. ACKNOWLEDGMENT

(Ordinary Short Form)

REPUBLIC OF THE PHILIPPINES )

CITY/MUNICIPALITY OF _______ )

BEFORE ME, a Notary Public or and in the Province/City of ______________,

this ______ day of ________________, 20______, personally came and appeared
__________________________, with Residence Certificate No. A-_______________
Issued on __________________ at _____________________________, and Tax
Account No. ________________ known to me and to me known to be the same
person who executed the foregoing instrument which he acknowledged before me as
his free and voluntary act and deed.

WITNESS MY HAND AND SEAL this __________ day of ________________,

20_______ at _____________________________________________

Notary Public
My Commission Expires on 31 December 20_____
PTR No. _______________________
Issued on ______________________
At ____________________________

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of ______
I. MGA PAGPAPATUNAY AT PAGPAPATOTOO----
Huwaran Blg. 1