IN WITNESS WHEREOF, we have, hereunder, set our hands on this _______ day of

____________, 2012 at __________________, Philippines.

J/CSUPT DIONY D MAMARIL, CES(E)

JO1RICSON S. SERAFICA JMP

HEAD OF OFFICE

__________________________________
Witness

EMPLOYEE

________________________________
Witness

ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
_________________________) S.S.
BEFORE ME, this _____ day of _____, 20_____ at the __________________,
Personally appeared
Name
1.______________________
2.______________________

Resident Cert#

Date Issued

Place Issued

_____________
_____________

_________
_________

___________
___________

Known to me be the same persons who executed the foregoing STUDY PRIVILEGE
CONTRACT and they acknowledge to me that same is their free act and deed.
This contract consisting of two pages including this page in which the acknowledgement
is written, has been signed on the left margin of each and every page thereof by the party and
their witnesses.
IN WITNESS WHEREOF, I have, hereunto, set my hand this ______ day of
______________, 2012.

Atty ABRAHAM B. SABLE

Notary Public
PTR No. 0646964, 01-05-12
IBP # 753954, 12-27-11
Until December 31,2013
Doc. No. 160;
Page No. 32;
Book No.119;
Series of 2012