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LALAWIGAN NG RIZAL
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. 14
____________________________
COMPLAINANT/S
____________________________
____________________________
(Address)
AGAINST: FOR:
____________________________ ____________________________________
RESPONDENT/S
____________________________ ____________________________________
Barangay Bagong Nayon,Antipolo City
(Address)
Complainant/s Respondent/s
____________________________ ____________________________
____________________________ ____________________________
ATTESTATION
I hereby certify that the foregoing Agreement for Arbitration was entered into by
the parties freely and voluntarily, after I had explained to them the nature and the
consequences of such agreement.
_______________________________
Punong Barangay/Pangkat Chairman
(Cross out whichever one is not applicable.)