Form No. 5--Waiver of Pre Emptive Rights

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(Waiver of Pre Emptive Rights)

WAIVER OF PRE-EMPTIVE RIGHTS

I, the undersigned stockholder of __Name of Corporation__, do hereby waive my pre-emptive rights to subscribe to the increase in the authorized capital stock of the said corporation __________________________ (________) Pesos to __________________________ (________) Pesos.

_____________, Philippines. _______ day of _____________, 20___.

STOCKHOLDER