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. 10

NOTICE FOR CONSTITUTION OF PANGKAT

TO: _________________________ _________________________
_________________________ _________________________
Complainant/s Respondent/s

You are hereby required to appear before me on the ______ day of _________,
20____, at ________ o’clock in the morning/afternoon for the constitution of the
Pangkat ng Tagapagkasundo which shall conciliate your dispute. Should you fail to
agree on the Pangkat membership or to appear on the aforesaid date for the
constitution of the Pangkat, I shall determine the membership thereof by drawing
lots.

This ________ day of ____________, 20_____.

HON. LARRY T. ONZA

Lupon Chairman/Punong Barangay

Notified this _________ day of _________, 20_____.

_________________________ _________________________
_________________________ _________________________
Complainant/s Respondent/s

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