KATARUNGANG PAMBARANGAY
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NOTE:<br />
The members of the Lupon conforming to the withdrawal must<br />
personally affix their signatures or thumb marks on the pertinent spaces<br />
above. The withdrawal must be conformed to by more than one-half of<br />
the total number of members of the Lupon including the Punong<br />
Barangay and the member concerned.<br />
KP FORM # 7: COMPLAINANT’S FORM<br />
Republic of the Philippines<br />
Province of __________<br />
CITY/MUNICIPALITY OF ______________<br />
Barangay _________________<br />
OFFICE OF THE LUPONG TAGAPAMAYAPA<br />
___________________ Barangay Case No. __________<br />
___________________ For: ______________________<br />
Complainant/s ________________________<br />
__________________________<br />
— against —<br />
__________________<br />
__________________<br />
Respondent/s<br />
C O M P L A I N T<br />
I/WE hereby complain against above named respondent/s for violating<br />
my/our rights and interests in the following manner:<br />
_<br />
______________________________________________________________________________________________________<br />
_<br />
_<br />
_<br />
_<br />
THEREFORE, I/WE pray that the following relief/s be granted to me/<br />
us in accordance with law and/or equity:<br />
_<br />
_<br />
_<br />
_<br />
<strong>KATARUNGANG</strong> <strong>PAMBARANGAY</strong><br />
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