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Sumbong Form

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Drickz Henson
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85 views1 page

Sumbong Form

Uploaded by

Drickz Henson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Province of Pangasinan
Municipality of Bani

Barangay Poblacion
OFFICE OF THE LUPONG TAGAPAMAYAPA

Barangay Case No. _________


For: ________________
Date: _____________
Time: _______

______________________
Complainant/s

Against

_____________________
Respondent/s

COMPLAINT

I/WE hereby complain against above named respondent/s for violating my


right and interest in the following manner;
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

THEREFORE, I/WE pray that the following reliefs be granted to me us/in


accordance with law and/or equity
___________________________________________________________________________
___________________________________________________________________________

Made this _____ day of __________ 2024.

Bryanne Paul B. Ampler


___________________ Punong Lupon/Chairman
Complainant Signature

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