REPUBLIC OF THE PHILIPPINES )

Province of Capiz ) S.S

CITY OF ROXAS )
x--------------------------------------------x

AC KN OWLE D GE ME NT

PERSONALLY appeared before me this _______ day of ______________________

2019 at Roxas City, Capiz, Philippines, HON. ANGEL ALAN B. CELINO with TIN No.
____________________________ issued on ___________________________ at Roxas City
and (Name of LSB Teacher) with CTC No. ________________ issued on ______________ at
Roxas City and they acknowledged to me that the same as their own free act and deed.

WITNESS MY NOTARIAL SEAL on the date and place first above written.

_____________________________
(NOTARY PUBLIC)

Doc. No.__________;
Page No.__________;
Book No._________;
Series of 2019