Owner/Principal Dentist Vice President For Academic Affairs
Owner/Principal Dentist Vice President For Academic Affairs
Owner/Principal Dentist Vice President For Academic Affairs
PHILIPPINES
By: By:
_________________________________ ____________________________
DR. MARIA DOLORES ADRANEDA DR. MANUEL M. MUHI
Owner/Principal Dentist Vice President for Academic Affairs
______________________________ ___________________________________
MS. MARICEL CANABA DR. JOHN MARK S. DISTOR, RPm
Clinic Coordinator Chairperson, Dept. of Psychology
___________________________________
DR. NICOLAS T. MALLARI, RPm
Dean, College of Social Sciences and Dev’t.
ACKNOWLEDGMENT
BEFORE ME, a Notary Public, for and in the City of _______________, this _____day of
_______, 2017. Personally appeared:
Known to me to be the same persons who executed this instrument and acknowledged the
same to me as their free and voluntary act and deed, and of the entities they respectively
represent.
This document consists of three (3) pages including the page where this
Acknowledgement is written, and the parties signed at the left margin of each and every page
hereof.
WITNESS MY HAND AND SEAL on the place and date first above written.
Notary Public