Hearing form

Republic of the Philippines

Province of Cebu
City of Mandaue
BARANGAY CENTRO

OFFICE OF THE LUPONG TAGAPAMAYAPA

Date: ___________________
 1st HEARING
 2nd HEARING Barangay Case. No.: KP2015- __
For: ___________________________
 3rd HEARING _______________________________
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COMPLAINANT/S:
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RESPONDENT/S:
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I/We hereby certify that the above-statements are true and correct.

ATTENDANCE
(NAME AND SIGNATURE)
Complainant/s Respondent/s
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HEARING OFFICER

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Punong Barangay/Pangkat Chairman

Katarungang Pambarangay Barangay Centro