JURAT

SUBSCRIBED AND SWORN to before me on this 17th day of

September, 2018 at Manila City, Philippines, the affiant PLAIN TIFF
exhibiting to me her Philippine Passport No. E21234, issued on January 15,
2017 at Manila City, with expiration date on January 15, 2023, as competent
evidence of her identity

NOTARY PUBLIC
Commission Expires On: ____
Roll of Attorney No: __
IBP No: ___
PTR No: ___
MCLE Compliance No: ___

Doc. No. ____

Page No. ____
Book No. ____
Series of 20__

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

CITY OF MANILA ) S.S.

BEFORE ME, this __ day of ____, 2020, in the City of Manila, personally
appeared:
Name Competent Evidence of Identity Place/Date of
Issue
______ _____ ______
______ _____ ______

known to me to be the same persons who executed the foregoing instrument, and
acknowledged that the same are their free act and deed.

This instrument, consisting of ___ pages including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page
thereof by the parties and their witnesses, and sealed with my notarial seal.

Date, Place.

NOTARY PUBLIC
Commission Serial No.
Commission Expires On __
Address/Phone/Email
Roll/IBP/PTR/MCLE

Doc. ______
Page ______
Book ______
Series of ___