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KATARUNGANG PAMBARANGAY

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KP FORM # 11: NOTICE TO CHOSEN PANGKAT MEMBER<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 />

NOTICE TO CHOSEN PANGKAT MEMBER<br />

TO: ________________<br />

(Date)<br />

Notice is hereby given that you have been chosen member of the<br />

Pangkat ng Tagapagkasundo amicably conciliate the dispute between<br />

the par in the above-entitled case.<br />

____________________________<br />

Punong Barangay/Lupon Secretary<br />

Received this ________ day of __________, 19_____.<br />

______________<br />

Pangkat Member<br />

94 A HANDBOOK

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