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COMPLAINT SHEET
May 13, 2022
(Date)
I hereby certify that the details of the complaint are true and correct. Any false entry
or misrepresentation of facts may be used as evidence against me before any court
in the Philippines.
That I not commenced any other action involving the same issue before any
of its Regional or Provincial Offices or any other office/units of the PNP, PLEB not in
any other administrative body, tribunal or agency.
That to the best of my knowledge neither is there any similar action pending
before any other administrative body or hearing officer or agency and that if hereafter
it is learned that there is any such action or proceeding pending, the undersigned
shall inform this Office within five (5) days from such knowledge
_______________________
Affiant
SUBSCRIBED AND SWORN to before me this 13TH day of May 2022 at the
Kalinga Provincial Internal Affairs Service office, Camp Captain Juan M Duyan,
Bulanao, Tabuk City, Kalinga.