FORM NO.

DEED OF ASSIGNMENT
[Of Shares in ___________________ CORP.]

KNOW ALL MEN BY THESE PRESENTS:

This Deed of Assignment, made and entered this ____ day of ______________, in
_________, Metro Manila, by and between:

____________________, of legal age, Filipino, single, with residence address at

__________________, Manila, hereinafter referred to as the ASSIGNOR;

and

________________, of legal age, Filipino, single, with residence address at

____________________, Manila, hereinafter referred to as the ASSIGNOR;

WITNESSETH: THAT

WHEREAS, the ASSIGNOR is the owner of 29,975 common shares ("SHARES," for short)
with a par value of One Hundred Pesos (P100.00) in ___________________
CORPORATION, a corporation duly organized and existing under Philippine law, with
business address at Unit 1009, Valero Tower, Valero St., Salcedo Village, Makati City;

WHEREAS, the ASSIGNOR is willing to assign, and the ASSIGNEE willing to accept, all of
the ASSIGNOR’s 29,975 SHARES by way of this instrument;

NOW, THEREFORE, for valuable consideration, the ASSIGNOR does hereby assign, cell,
cede, transfer and convey in a manner that is absolute and irrevocable the SHARES unto the
ASSIGNEE, free from all liens and encumbrances.

Any and all expenses incidental to the conveyance and registration of the transfer from the
name of the ASSIGNOR to the name of the ASSIGNEE, such as documentary stamp tax,
transfer fees, registration expenses and the like shall be the sole and exclusive account of the
ASSIGNEE, except for the capital gains tax, if any, which shall be for the sole account of the
ASSIGNOR.

IN WITNESS WHEREOF, the parties have hereunto signed this DEED OF ASSIGNMENT on
the date and place first above written.

Assignor Assignee
 SIGNED IN THE PRESENCE OF:

________________________ __________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

_________ City ) SS.

BEFORE ME, a Notary Public for and in the above jurisdiction, this ________, personally
appeared:

NAME COMPETENT EVIDENCE DATE/PLACE

OF IDENTITY ISSUED

known to me to be the same persons who executed the foregoing instrument and they
acknowledged to me that the same is their voluntary act and deed and the voluntary act.

This instrument, which refers to as a _________________ consisting of three (3) pages,

including the page on which this ACKNOWLEDGMENT is written, has been signed by the
parties and their instrumental witnesses on each and every page hereof, and sealed with my
notarial seal.

NOTARY PUBLIC

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2019.