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Republic of the Philippines

Province of Quezon
MUNICIPALITY OF ATIMONAN
OFFICE OF THE MUNICIPAL MAYOR
PUBLIC RELATIONS AND INFORMATION OFFICE

BANDILLO REQUEST FORM


REQUESTED BY:
DEPARTMENT:
CONTACT NUMBER:

WHAT: PRIO Action

(do not fill out)


WHERE:

WHEN:
Date Received:
TIME:
OTHER DETAILS:

Person-in –charge:

Approved by:

Notes:

Note: Please attach your final program


Requested by: Noted:

End-User Department Head

Tulong-tulong sa asenso,
Mamamayan ang panalo! MUNICIPIO NG ATIMONAN
Quezon corner Rizal St. Tel. Nos: (042) 316-5385
Fax. Nos.: (042) 316-6480
Brgy. Zone III – Poblacion
Atimonan, Quezon www.atimonan.gov.ph

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