Republic of the Philippines Department of Education National Capital Region Schools Division Office of Caloocan City DEED OF DONATION KNOWN ALL MEN BY THESE PRESENTS This Deed of Donation made and executed by _________________________________ herein represented by its Chief Executive Officer, _________________________________ with office address at ________________________________________________ thereafter called the DONOR. -in favor of___________________________________(Name of School), herein represented by the _________________________(School Head), with office address at ______________________________(address), hereafter called DONEE. WITNESSETH That for and in consideration of a desire to contribute a share for the cause of the education of Filipino learners through the Adopt-A-School Program of the Department of Education, the DONOR, its successors and assigns free and clear of any and all liens and encumbrances whatsoever all its rights interest and title on various _____________________. IN WITNESS WHEREOF, the DONOR has hereto subscribed himself this _______ day of __________________, 2020. _______________________________ DONOR REPUBLIC OF THE PHILIPPINES) __________________________) ss BEFORE ME this ____________________, personally appeared ___________________________________TC# ___________________ Issued on/at ______________________ ___________________________________CTC# _________________ Issued on/at _______________________ Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledge to me that the same is free and voluntary act and deed, including that of the entities that they represent. This instrument refers to a Deed of Donation that consists of 1 page, including this whereon this acknowledgement is written, and which is signed by the parties concerned on each and every page thereof. WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above. NOTARY PUBLIC Doc. No. __________ Page No. __________ Book No. __________ Series of __________ Address: 10th Avenue cor. P. Sevilla St., Grace Park, Caloocan City Telephone No.: (+63 2) 8-442-0029; 8-361-1463 Email Address: caloocan.city@deped.gov.ph Website: deped.in/depedcaloocan Republic of the Philippines Department of Education National Capital Region Schools Division Office of Caloocan City CERTIFICATE OF ACCEPTANCE The DONEE, for and in behalf of the SCHOOLS DIVISION OFFICE-CALOOCAN, hereby accepts and acknowledges the donation from the ___________________________________________(Donor). For and in behalf of the school, the DONEE expresses his/her most sincere appreciation for the benevolence shown by the DONOR thru the Adopt-A-School Program, with the donation package composed of the following: Details of the Donation _______________________________________________ _______________________________________________ Amount __________________________ __________________________ In witness whereof, the DONEE has set his/her hands this ____________________________(date) in __________________________________________(place). ______________________________________ DONEE (Signature over School Principal’s Name) _________________________________________________ NAME OF SCHOOL/ADDRESS SIGNED IN THE PRESENCE OF: ____________________________________ (Signature over Printed Name) ________________________________________ (Signature over Printed Name) ACKNOWLEDGEMENT REPUBLIC OF THE PHILIPPINES) __________________________) ss BEFORE ME this ____________________ (date) ______________________ personally appeared ___________________________________CTC#___________________Issued on/at ______________________ ___________________________________CTC# _________________ Issued on/at _______________________ Known to me and to me known to be the same persons who executed the foregoing instrument, and they acknowledge to me that the same is free and voluntary act and deed, including that of the entities that they represent. This instrument refers to a Deed of Acceptance that consists of 1 page, including this whereon this acknowledgement is written, and which is signed by the parties concerned on each and every page thereof. WITNESS MY HAND AND NOTARIAL SEAL, on the date at the place first written above. Doc. No. __________ Page No. __________ Book No. __________ Series of __________ Address: 10th Avenue cor. P. Sevilla St., Grace Park, Caloocan City Telephone No.: (+63 2) 8-442-0029; 8-361-1463 Email Address: caloocan.city@deped.gov.ph Website: deped.in/depedcaloocan NOTARY PUBLIC Republic of the Philippines Department of Education National Capital Region Schools Division Office of Caloocan City Address: 10th Avenue cor. P. Sevilla St., Grace Park, Caloocan City Telephone No.: (+63 2) 8-442-0029; 8-361-1463 Email Address: caloocan.city@deped.gov.ph Website: deped.in/depedcaloocan