| Republic of the Philippines | ) |
| _________________ | ) s.s |
BEFORE ME, this ____ day of ____, 20 ____ in the ____, Philippines, personally appeared to me ____ and __________, with [Valid Identification Document] issued by the [official agency] on ____, known to me to be the same person who executed the foregoing instrument, and they acknowledged to me that the same is their free act and deed.
This instrument refers to a for the <<Name of the Project>>, consisting of pages, including the page whereon this Acknowledgment appears, and has been signed on each and every page hereof by the parties hereto and their instrumental witnesses, initialed on each and every page hereof, and sealed by my notarial seal.