ACKNOWLEDGEMENT

REPUBLICOFTHEPHILIPPINES)
_____________________________)S.S.

BEFOREME,aNotaryPublicforandintheabovejurisdiction,this_____dayof
_________________,2010,personallyappeared:

Name
CTCNo.
Date/PlaceIssued

Known to me and by me known to be the same person who executed the foregoing
instrument consisting of two pages including this page where this acknowledgement is
writtenandacknowledgedtomethatthesameishisownfreeandvoluntaryactanddeed
asPresidentofthe_________________________Bank.

Witnessmyhandandnotarialsealonthedateandattheplacefirstabovewritten.

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BookNo._______
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