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Katarungang Pambarangay Handbook_0

KP FORM # 4: LIST OF

KP FORM # 4: LIST OF APPOINTED LUPON MEMBERS Republic of the Philippines Province of __________ CITY/MUNICIPALITY OF ______________ Barangay _________________ OFFICE OF THE PUNONG BARANGAY LIST OF APPOINTED LUPON MEMBERS _________, 20 ____ (Date) Listed hereunder are the duly appointed members of the Lupong Tagapamayapa in this Barangay who shall serve as such upon taking their oath of office and until a new Lupon is constituted on the third year following their appointment. 1. _________________ 11. _________________ 2. _________________ 12. _________________ 3. _________________ 13. _________________ 4. _________________ 14. _________________ 5. _________________ 15. _________________ 6. _________________ 16. _________________ 7. _________________ 17. _________________ 8. _________________ 18. _________________ 9. _________________ 19. _________________ 10. _________________ 20. _________________ _______________ Punong Barangay ATTESTED: ______________________ Barangay/Lupon Secretary IMPORTANT: The list shall be posted in three (3) conspicuous places in the barangay for the duration of the terms of office of those named above. WARNING: Tearing or defacing this notice shall be subject to punishment according to law. 86 A HANDBOOK

KP FORM # 5: LUPON MEMBER OATH STATEMENT Republic of the Philippines Province of __________ CITY/MUNICIPALITY OF ______________ Barangay _________________ OFFICE OF THE PUNONG BARANGAY OATH OF OFFICE Pursuant to Chapter 7, Title One, Book II, Local Government Code of 1991 (Republic Act No. 7160), I _______________, being duly qualified and having been duly appointed MEMBER of the Lupong Tagapamayapa of this Barangay, do hereby solemnly swear (or affirm) that I will faithfully and conscientiously discharge to the best of my ability, my duties and functions as such member and as member of the Pangkat ng Tagapagkasundo in which I may be chosen to serve; that I will bear true faith and allegiance to the Republic of the Philippines; that I will support and defend its Constitution and obey the laws, legal orders and decrees promulgated by its duly constituted authorities; and that I voluntarily impose upon myself this obligation without any mental reservation or purpose of evasion. SO HELP ME GOD. (In case of affirmation the last sentence will be omitted.) _____________ Member SUBSCRIBED AND SWORN to (or AFFIRMED) before me this _____ day of __________, 20____. __________________ Punong Barangay KATARUNGANG PAMBARANGAY 87

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