DEED OF PLEDGE

This Deed of Pledge (“Pledge”), is made and entered into this ____ day of __________________,
by and between:

[corporate name of hospital] , a corporation duly organized and existing

under the laws of the Republic of the Philippines, with principal business
address at ______________________________, represented herein by its ________,
____________________, and hereinafter referred to as “Pledgee”

-and-

[name of pledgor] , of legal age, residing at

____________________________________________________, and hereinafter
referred to as “Pledgor”

RECITALS:

(A) Pledgee agreed to extend to the Debtor a financial accommodation evidenced by

promissory note dated ___________________ in the amount of _____________________.

(B) Pledgee had agreed to extend the aforesaid financial accommodation on condition,
among others, that this Pledge shall be duly executed, delivered and complied with by
the Pledgor in favor of the Pledgee to secure under the terms and conditions set forth
herein, the Secured Obligations set forth hereafter.

NOW, THEREFORE, for and in consideration of the foregoing premises and in order to secure
full payment and performance of the Secured Obligation, the Pledgor, by way of pledge, hereby
transfers, conveys and encumbers, in favor of the Pledgee, all of the Pledgor's rights, title and
interests in and to the Pledged Properties under the terms and conditions set forth below.

Section 1. Secured Obligations. - The obligation secured by this Pledge (the "Secured Obligation")
is the payment of the Principal Amount of ________________________ PESOS
(PhP________________), with interest, damages, and/or attorney’s fees as the case may be,
evidenced by a Promissory Note dated ______________.

Section 2. Pledged Property. The property herein pledged are listed below, which has a current
fair market value of ____________ Pesos (PhP______________) to wit:

ITEM DESCRIPTION

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At the time of the execution of this Pledge, the Pledgor shall turn over the possession of the
Pledged Property to the Pledgee. The Pledgee shall have the authority to retain the possession
of the same until such time this Pledge is extinguished.

Section 3. Representations and Warranties. - The Pledgor hereby represents and warrants as
follows:

a) The Pledgor reiterates herein all the representations and warranties in the Promissory Note;

b) The Pledgor is the absolute owner in fee simple and is in lawful possession of the Pledged
Shares, free and clear from any and all liens, encumbrances and adverse claims of whatever
kind and nature, has full power and authority to pledge the same under the terms hereof, and
that there is no legal or contractual impediment which would in any way impair the validity or
enforcement of this Pledge;

c) The Pledge and all other documents and deeds related or supplemental hereto have been
authorized by all necessary acts and deeds (including government authorization, if required)
and when executed and delivered as contemplated by this Pledge, will be valid and binding in
accordance with their respective terms;

Section 4. Covenants of the Pledgor. As long as any portion of the Secured Obligations remains
unpaid, the Pledgor hereby covenants and undertakes as follows:

a) The Pledgor hereby reiterates herein all the covenants and undertakings under the
Promissory Note.

b) The Pledgor will, at the Pledgor's own expense and account, warrant and defend the title to
all the Pledged Shares for the benefit of the Pledgee.

c) The Pledgor shall not sell, assign, dispose of, encumber or otherwise subject to any other lien,
the Pledged Shares or any part thereof.

d) Within thirty (30) days from date hereof, unless sooner required by the Pledgee, the Pledgor
shall at its own expense, and to the satisfaction of the Pledgee, cause this Pledge and all
instruments amendatory or supplemental thereto, to be duly filed and registered in the books of
the issuers thereof or in such other manner and at such places as may in the opinion of the
Pledgee be required by law in order to make fully effective, and to maintain, preserve and
protect, the lien and security of this Pledge.

e) The Pledgor will protect and preserve the lien constituted under this Pledge and, upon
reasonable request of the Pledgee, the Pledgor shall execute and deliver such further
instruments and perform such further acts as may be necessary or proper, in the reasonable
opinion of the Pledgee, to more effectively carry out the purposes of this Pledge and to subject
to this Pledge any property intended to be covered hereby.

Upon failure of the Pledgor to keep, observe and perform any or all of the foregoing covenants,
the Pledgee may, in conjunction with or in addition to any other remedy herein provided,
perform or cause to be performed said covenants on behalf of the Pledgor. Any and all costs

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advanced or incurred by the Pledgee thereon shall be reimbursed by the Pledgor immediately
upon demand, and shall bear interest at the highest rate permitted by law from the date the
advance was made or cost incurred until full payment thereof, and shall together with the
interest herein provided be deemed to form part of the Secured Obligations.

Section 5. Default. The Pledgor is in default within the meaning of this Pledge when the Pledgor
fails to duly and fully pay and perform the Secured Obligation when due, or when the Pledgor
is otherwise in default under the terms and conditions of the Agreement, without need for
notice to or consent of the Pledgor or any other or further act or deed.

Default by the Pledgor as herein defined shall, without need for notice or demand, or any other
act or deed, all of which are hereby waived, have the same effect and entitle the Pledgee to
exercise the same remedies provided for in the Agreement, in addition to the following, all of
which remedies shall be alternative, concurrent and cumulative, unless prohibited by law:

a) The Pledgee shall have the right, without need for advertisement, notice, demand upon, or
consent of the Pledgor or any other act or deed, to immediately sell all or any portion of the
Pledged Properties in such order or quantity or by such lot or lots as the Pledgee may deem
convenient, necessary or proper, at public sale, at the Pledgee's place of business or elsewhere,
or otherwise. Any such sale or sales may likewise be made free from any right or equity of
redemption, such right or equity being hereby expressly waived and released by the Pledgor.

b) The Pledgee shall likewise have the right to issue receipts, to execute and deliver any
instrument or document and/or do such acts or deeds as may be necessary, proper or
convenient to effect the sale, transfer and assignment of any or all rights, titles and interest of
the Pledgor in any or all of the Pledged Properties to the purchaser/s or to itself, in the proper
case; and

c) To apply the proceeds realized from such sale/s as provided hereinafter.

Section 6. Application of Proceeds. The proceeds realized from any sale of the Pledged Shares shall
be applied to the following, in the order given:

a) To the payment of all taxes, assessments, governmental charges or liens, if they have priority
over the lien established herein;

b) To the payment of all expenses of sale, including but not limited to, notices and
advertisements thereof, commissions, attorney's fees and other charges; and

c) To the payment of the Secured Obligation.

Section 7. Power and Authority of Pledgee. To effectively carry out the powers granted to the
Pledgee under Section 6 and elsewhere in this instrument, the Pledgor hereby irrevocably
names, constitutes and appoints the Pledgee and/or any of its authorized representatives, as the
Pledgor’s true and lawful attorney in fact, with full power and authority to do and perform, by
itself or through its nominees or agents, with full power of substitution or revocation, any and
all acts and things which may be necessary, proper or convenient to be done or performed in
and about the premises, without however, any responsibility on the part of the Pledgee for its

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failure to do any or all of its powers herein vested, all to the same purposes and effects as if
done by the Pledgor, and all acts done in conformity with the powers herein granted are hereby
confirmed and ratified.

Section 8. Expenses. The Pledgor shall pay all costs, fees, charges, and other expenses in
connection with the preparation, execution, delivery, registration and enforcement of this
Pledge or any amendment, supplement or any modification thereof, including but not limited to
all stamp and other taxes.

Section 9. No Implied Waivers. - The exercise of the rights, privileges and remedies provided in
this Pledge, the
Agreement and in any Note, shall be at the absolute discretion and option of the Pledgee. No
failure, omission or delay on the part of the Pledgee in the exercise of any of said rights,
privileges or remedies shall operate as a waiver thereof, nor shall any single or partial exercise
of any right, privilege or remedy preclude any other or further exercise thereof or the exercise of
any other right, privilege or remedy under the same. No modification or waiver of any
provision of this Pledge, the Agreement and any Note, and no consent to any departure by the
Pledgor from the same shall in any event be effective unless the same shall be in writing, and
then such waiver or consent shall be effective only in the specific instance and for the purpose
for which given. No notice to or demand on the Pledgor in any case shall entitle it to any other
or further notice or demand in similar or other circumstances.

Section 10. Binding on Successors and Assigns. - This Pledge shall be binding upon and inure to
the benefit of the Pledgor and Pledgee and their successors and assigns, except that the Pledgor
may not assign or transfer its rights hereunder without the prior written consent of the Pledgee.

Section 11. Separability of Provisions - If any provision of this Pledge or any instrument delivered
pursuant hereto shall be held invalid, the remainder thereof shall not be affected thereby.

Section 12. Amendment, Extension, etc. - The Pledgor shall remain liable under this Pledge for as
long as the Secured Obligations or any portion thereof remain unpaid and notwithstanding
modification, amendment or novation of the Agreement or any Note and/or notwithstanding
any renewal, roll- over, extension or grace period, the right to any notice to or consent of the
Pledgor of which are hereby waived.

Section 13. Effectivity and Termination. - This Pledge shall continue to be valid, binding and be in
full force and effect until all the Secured Obligations are fully paid and performed. Upon the
full payment and performance of all the Secured Obligations, this Pledge shall, without need for
any act or deed, cease to have any further force and effect.

IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed on the
date and at the place first above set forth.

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 _________________________ ________________________
PLEDGEE PLEDGOR

By: With my marital consent:

________________________________ ___________________________
Authorized Representative Spouse of Pledgor

Signed in the presence of:

_________________________________ _________________________________

REPUBLIC OF THE PHILIPPINES)

_____________________________ )S.S

ACKNOWLEDGMENT

BEFORE ME, a notary public for and in _______________________, this _____

day of _______________, personally appeared:

NAME COMPETENT EVIDENCE DATE/PLACE ISSUED

OF IDENTITY

Known to me and to me known to be the same persons who, executed the same foregoing
Agreement, and acknowledged before me that the same is their free and voluntary act and
deed and likewise the free and voluntary act of the corporation they respectively represent.
This instrument consists of five (5) pages, including this page where the Acknowledgment is
written.

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

Doc. No. : ____

Page No. : ____
Book No.: ____
Series of _____.

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