NOTARIAL REGISTER OF Ms.

____________________________ of __________________________

Under Appointment made on the ________ of ____________ and expiring December 31, ______

ENTRY NAMES & ADDRESSES OF COMPETENT EVIDENCE OF

NUMBER NAMES AND ADDRESSES OF PARTIES WITNESSES IDENTITY
________________________________Philippines, for the year

December 31, ___________

OTHER PLACE OF
DATE & TIME OF TYPE OF NOTARIAL FEES & NOTARIZATION OTHER
NOTARIZATION ACT O.R. NO. THAN OFFICEOF NOTARY
PUBLIC AND/OR REMARKS