________
________

________

________
Single Stockholder
________
________

Re: Written Consent and Acceptance of Designation as Nominee of a One Person Corporation

Dear ________,

§ 1. Acceptance of Designation. I, the undersigned, of legal age, Filipino, and a resident of ________, do hereby give my free and voluntary written consent to, and formally accept, my designation as the Nominee of your One Person Corporation, ________, or such other name as it may hereafter be amended to (hereinafter the “Corporation”). This acceptance is given in accordance with Sections 124 and 125 of Republic Act No. 11232, otherwise known as the Revised Corporation Code of the Philippines, and its implementing rules and regulations.

§ 2. Function in the Event of Death or Permanent Incapacity. As Nominee, and in the event of your death or permanent incapacity, I shall sit as director and manage the affairs of the Corporation. I shall continue to act as such director and manage the affairs of the Corporation until the legal heirs have been lawfully determined, and the said heirs have designated one of them or have agreed that the estate shall be the single stockholder of the Corporation, in accordance with Section 130 of the Revised Corporation Code and the applicable provisions of the Civil Code of the Philippines on succession.

§ 3. Function in the Event of Temporary Incapacity. In case of your temporary incapacity, I shall sit as director and manage the affairs of the Corporation during the period of such incapacity, until you have recovered and are able to resume the management of the Corporation.

§ 4. Scope and Limitations of Authority. In the event that I am called upon to manage the affairs of the Corporation, I acknowledge and understand the scope and limitations of my authority as Nominee to be as follows:

________

§ 5. Alternate Nominee. I acknowledge that the Alternate Nominee designated by you, ________, of ________, shall replace me as Nominee for the reasons and in the manner provided under Section 126 of the Revised Corporation Code, including in the event of my death, incapacity, refusal, or inability to so act.

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§ 7. Term and Revocation. This designation may be changed or revoked by you at any time by giving written notice to me and to the Securities and Exchange Commission, in accordance with Section 126 of the Revised Corporation Code, without prejudice to my right to resign as Nominee upon written notice to you.

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Thank you for the trust and confidence you have reposed upon me.

Sincerely,

________
Nominee
TIN - ________
Government-Issued ID No. - ________

CONFORME / NOTED BY THE SINGLE STOCKHOLDER:

________
Single Stockholder
TIN - ________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )
________ ) S.S.

BEFORE ME, a Notary Public for and in ________, this ________, personally appeared the foregoing persons, known to me and to me known to be the same persons who executed the foregoing instrument, who exhibited to me their competent evidence of identity as indicated above, and who acknowledged to me that the same is their free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and at the place first above written.

________
Notary Public

Doc. No. ________;
Page No. ________;
Book No. ________;
Series of ________.