ACKNOWLEDGMENT OF INSTRUMENT CONSISTING OF TWO OR MORE PAGES

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF ______________ ) S.S.
MUNICIPALITY OF _____________)

BEFORE ME this _____ day of _______________, 2001 in the Municipality of
_________________, Province of ____________, Philippines, personally appeared
______________________, with Community Tax Certificate No. _________ issued at
________________ on ________________ and T.I.N. No. ________, known to me to
be the same person who executed the foregoing instrument, and he acknowledged to
me that the same is his free act and deed.

This instrument, consisting of _____ pages, including the page on which this
acknowledgement is written , he has been signed on the left margin of each and every
page thereof by __________________ and his witness, and sealed with my notarial
seal.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, the year, and
the place above written.

NOTARY PUBLIC

My Commission expires Dec. 31, 2001
IBP No. ______, 1/2/2001, Pasig City
P.T.R. No. ____, 2/2/2001, Pasig City

Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20____

JURAT



SUBSCRIBED AND SWORN to me, in the Municipality of ________, this ____th
day of ______, 19 ____ by, _______ with Community Certificate No. _____ issued at
_____ on ______, 2001.


NOTARY PUBLIC

My Comission expires Dec. 31, 2001
IBP No. ______, 1/2/2001, Pasig City
P.T.R. No.____, 2/2/2001, Pasig City


Doc. No._____;
Page No._____;
Book No._____;
Series of 20____.



VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

VERIFICATION

JUAN DELA CRUZ, subscribing under oath, hereby deposes and states that:

I am the petitioner in the instant case.

I have read the foregoing Petition and the allegations therein are true and correct
of my own knowledge and/or based on the records on hand.

I attest to the authenticity of the annexes thereof.

CERTIFICATION

I certify that:

a. I have not commenced any other action or proceeding involving the same
issues in the Supreme Court, the Court of Appeals, or different Divisions
thereof, or any other tribunal or agency.

b. No such action or proceeding is pending in the Supreme Court, the Court of
Appeals, or different Divisions thereof, or any other tribunal or agency.

c. If I should learn that a similar action or proceeding has been filed or is
pending before the Supreme Court, the Court of Appeals, or different
Divisions thereof, or any other tribunal or agency, I hereby undertake to notify
this Honorable Court within five (5) days from such notice.

_______________________
JUAN DELA CRUZ

JURAT