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SUBSCRIBED AND SWORN to before me this _ day of ________ 2024 at

Surigao City, Surigao Del Norte, Philippines, affiant exhibiting to me his

_____________________________ issued at ________________________ as his competent
evidence of identity.

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SUBSCRIBED AND SWORN to before me this _ day of ________ 2024 at

Surigao City, Surigao Del Norte, Philippines, affiant exhibiting to me his

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SUBSCRIBED AND SWORN to before me this _____ day of ____________ 2024 at

Surigao City, Surigao Del Norte, Philippines, affiant exhibiting to me his

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SUBSCRIBED AND SWORN to before me this _ day of ________ 2024 at