（    ）字第××号

    兹证明×××于×年×月×日来到我处，在我的面前，在前面的声明书上签名（或盖章）

 

中华人民共和国××省××市公证处

公证员（签名）    

×年×月×日      

 

（译文）

 

NOTRIAL CERTIFICATE

（Translation）

 

（    ）Zi，No.___________

____ NOTARIAL PUBLIC OFFICE,

____ PROVINCE,

THE PEOPLE'S REPUBLIC OF CHINA

    On this _____ day of ____, 20 ______, personally appeared before me Mr.  ________, known to me to be the person whose signature is subscribed to the foregoing Declaration.

    IN WITNESS WHEREOF, I have hereunto set my hand and official seal on the day and year first written above.

                                                      Notary:______(Signature)