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Katarungang Pambarangay Handbook_0

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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 />

___________________<br />

___________________<br />

Complainant/s<br />

Barangay Case No. ________________<br />

For: ____________________________<br />

________________________________<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 my/our<br />

rights and interests in the following manner:<br />

_<br />

_ _<br />

_<br />

_<br />

__________________________________<br />

THEREFORE, I/WE pray that the following relief/s be granted to me/us in<br />

accordance with law and/or equity:<br />

__________________________________<br />

_<br />

_<br />

_<br />

_<br />

Made this _______ day of ___________, 19____.<br />

________________<br />

Complainant/s<br />

Received and filed this ________ day of __________, 19____.<br />

____________________________<br />

Punong Barangay/Lupon Chairman<br />

KATARUNGANG PAMBARANGAY<br />

25

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