Page 20 - COMPLIANCE REPORT - EXTENSION

ACKNOWLEDGMENT

REPULIC OF THE PHILIPPINES)
City of )s.s.

BEFORE ME, a Notary Public, for and in the City of this
duySHfttlrzr- 20- personally appemed:

IDNo. Issued on/Issued at

J. PROSPERO E. DEVERA III, DPA CO.0394 lanuarv 29,2018
CHED Central Office

EVA MARIE CODAMON - DUGYON, PhD 006-0016-6952-5 Bavombons, Nueva
Yizcaya

Known to me and to me known to be the same person(s) who executed the foregoing
insfument and who acl,nowledged to me that the same is their free and voluntary act and
deed, and that of the institutions respectively represented.

The foregoing instrument refers to a Memorandum of Agreement (MOA) consisting of seven
(7) pa9er., including the page in which this Acl,orowledgement is wdtte& signed by the
parties, including their instrumental witnesses on each and every page thereof and sealed
with my notarial seal.

WTINESS MY HAND AND SEAL, on the date and place above written.

1.2020
Com. No.2019{03
acron West, Lamut, lfugao
Poc.No.@ PTR # 9601?55 - Lagawe, lfugao 1/2,12020
IBP # 10145'l-Pasig City, Metro Manila-1/6/2020
tlage No.fi ;
Roll No, 59084
Book No.(J- ;
Series of 2020

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