REPUBLIC OF THE PHILIPPINES)
Medina, Misamis Oriental ……..) ss.
ACKNOWLEDGMENT
BEFORE ME, a notary Public, in Medina Medina, Misamis Oriental, this
________________________, personally appeared the following persons with their respective
competent proof of identity:
NAME VALID ID/ID NO./EXPIRY DATE
___________________ __________________________________
___________________ __________________________________
known to me to be the same persons who executed this __________________ and acknowledged
to me that the execution thereof are of her voluntary act and deed. This document consisting of
_____(__) pages including the page to which this acknowledgment is contained.
WITNESS MY HAND AND SEAL on the date and in the place above stated