Republic of the Philippines

PROVINCE OF RIZAL
CITY OF ANTIPOLO

Road A Phase IV COGEO Village, Barangay Bagong Nayon, Antipolo City 1870 Rizal, Philippines
 barangay_bagongnayon@yahoo.com   647-0942   942-0358   bagongnayon.antipolo@gmail.com
www.facebook.com/BagongNayonOfficialPage   www.antipolo.ph

KP PORMULARYO BLG. 4

________________, 20__

LIST OF APPOINTED LUPON MEMBERS

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. _________________________

LARRY T. ONZA
Punong Barangay

ATTESTED:

JENNIFER ANN R. LOPEZ

Barangay 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.

Barangay Bagong Nayon: Partner Towards Progress and Change for the City of Antipolo.