Professional Documents
Culture Documents
Rodrigo Aban
Name:____________________________ 39
_______ Single
________
_________________________________ _______ ________
09683629804
Tel No:___________________________ _______ ________
_________________________________ _______ ________
rodrigo.aban@gmail.com
Email Add:________________________ _______ ________
_________________________________ _______ ________
3. NAME/S OF RESPONDENT/S:
5. OWNER/MANAGER: ________________________________________
6. CAUSE/S OF ACTION:
( ) VIOLATION OF THE CONSUMER ACT OF THE PHILIPPINES
(R.A. 7394) , MORE PARTICULARLY:
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( ) PROVISIONS ON DEFECTIVE PRODUCTS AND SERVICE
IMPERFECTION
( ) PROVISIONS ON ADVERTISING AND SALES PROMOTION
( ) CHAIN DISTRIBUTION PLANS OR PYRAMID SALES SCHEMES
( ) OTHER PROVISIONS CONTAINED THEREIN,
SECIFICALLY:
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( ) VIOLATION OF PHILIPPINE LEMON LAW (RA 10642 )
( ) VIOLATION OF THE BUSINESS NAME LAW
( ) VIOLATION OF THE LAW REGULATING THE BROKERAGE
BUSINESS
( ) VIOLATION OF R.A. NO. 71, AS AMENDED
(PRICE TAG LAW)
( ) OTHER FAIR TRADE LAWS
SPECIFY: _________________________________________
_________________________________________
_________________________________________
_________________________________________
AND/OR
( ) NARRATION:
I bought a range hoood from their Lazada store and when it arrive there are dents and
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Physical damage. I demanded a replacement but they refused they said it's the fault
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of their courier service. I asked Lazada but they said to talk to the seller or file a refund
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I don't want a refund because I bought this item on sale.
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7. PROOFS/EVIDENCES (ATTACHED):
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8. RELIEF: COMPLAINANT/S PRAY FOR THE FOLLOWING:
( ) REFUND
( ) REPLACEMENT
( ) OTHERS:
____________________________________
____________________________________
____________________________________
Rodrigo Aban
_______________
COMPLAINANT
VERIFICATION/CERTIFICATION
Rodrigo Aban
_______________
COMPLAINANT
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19 DAY OF ____________,
SUBSCRIBED AND SWORN TO THIS ____ December AFFAINT/S
HAVING EXHIBITED TO ME HIS/HER/THEIR COMMUNITY TAX CERTIFICATE
NO. ________________ ISSUED ON ___________________ AT _______________ AND
HIS/HER/THEIR GOVERNMENT-ISSUED IDENTIFICATION CARD NO.
N02-11-009288
_______________________, AS FOLLOWS:
Rodrigo Aban
_________________________ ____________________ N02-11-009288
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_________________________ ____________________ __________________
_________________________ ____________________ __________________
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ADJUDICATION OFFICER
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