REPUBLIC OF THE PHILIPPINES |
DONE: _______, BENGUET |S.C.
CERTIFICATION
This is to CERTIFY that the (document) issued by, appearing on the front
page containing two (2) pages is a true and genuine reproduction of the original.
SUBSCRIBED AND SWORN to before me __________ Philippines after affiant
exhibited to me his valid identification card described below his name and
signature as competent proof of identity.
Doc. No. Notary Public
Page No.
Book No.
Series of