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KP Form No.

02 Republic of the Philippines


Bangsamoro Autonomous Region in Muslim Mindanao
City Government of Cotabato
Barangay Immaculada Concepcion, Rosary Heights 2
OFFICE OF THE BARANGAY COUNCIL
Phone No. 09052655844

OFFICE OF THE PUNONG BARANGAY

January 8, 2022

APPOINTMENT
TO: _______________________

Pursuant to Chapter 7, Title One, Book III, Local Government Code of 1991 (Republic Act
No. 7160), you are hereby appointed MEMBER of the Lupong Tagapamayapa of this Barangay
effective upon taking your oath of office and until a new Lupon is constituted on the third year
following your appointment.

___________________________
Punong Barangay

ATTESTED:

________________________
Barangay Secretary

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