MEMORANDUM OF AGREEMENT
Know all men by these presents:
We, Alay Sa Kapwa (ASK) Daet Piglet Propagation Project of Pusong Camarines Norte E-Group, herein represented by _____________________ of legal age, a resident and with postal address at ______________________ hereinafter referred to as the PROVIDER;
and
___________________________ also of legal age, married/single, a resident and with postal address at __________________________________, hereinafter referred to as the RECIPIENT;
WITNESSETH THAT:
WHEREAS, the PROVIDER is a group of caring Daeteños from all over the world;
WHEREAS, the RECIPIENT is one of the beneficiaries of the this Project;
WHEREFORE, the parties agreed as follows, to wit:
WHEREFORE, the parties herein bind themselves to faithfully observe and abide with these covenants.
Signed this ___ day of _________________ 200_ at Daet, Camarines Norte.
PROVIDER: RECIPIENT:
_______________________________ _________________________________
CTC CTC
ACKNOWLEDGMENT
Republic of the
BEFORE ME, notary public for the Province of Camarines Norte, personally appeared __________________________ and ___________________________ known to me and to me known to be the same persons who executed the foregoing instrument and who acknowledged to me that the same is their free act and deed and that they fully understand the stipulations in this deed.
Daet,
Doc. ___
Page ___
Book ___
Series of 200_.
Alay Sa Kapwa 2007 Project
Pusong Camarine Norte E-Group
Daet, Camarines Norte
PERSONAL INFORMATION
PLEASE FILL-UP THE FOLLOWING INFORMATION COMPLETELY AND TRUTHFULLY.
Recipient's Name: _______________________ Spouse Name :_______________________
Date of Birth: _________________Age:______ Date of Birth: _______________Age:__________
Birth Place: ______________________ Spouse's Birth Place: ________________________
Address: ___________________________________________________________________
Profession/Livelihood : _ _________________ Spouse: If any _____________________________
Daily Income (Recipient): _________________ Spouse, if any _____________________________
Daily Household Expenses: _________________________________________________________
No. of Children: ___________________ How Many Living with Recipients: _____________
Educational Attainment: _______________________ Spouse: ____________________________
Interviewed by:
__________________________________
(ASK Volunteer)
Approved/Disapproved:
________________________________
Member ASK/Provider