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KP Form #23 (Certification To Bar Action)

This document is a certification from the Barangay Bagong Nayon in Antipolo City, Rizal, Philippines. It certifies that a case was dismissed after the complainants willfully failed to appear for a hearing. The certification bars the complainants from filing an action in court or with a government office related to this case. The certification must be attested by either the Lupon Chairman if made by the Lupon Secretary, or the Pangkat Chairman if made by the Pangkat Secretary.

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4K views1 page

KP Form #23 (Certification To Bar Action)

This document is a certification from the Barangay Bagong Nayon in Antipolo City, Rizal, Philippines. It certifies that a case was dismissed after the complainants willfully failed to appear for a hearing. The certification bars the complainants from filing an action in court or with a government office related to this case. The certification must be attested by either the Lupon Chairman if made by the Lupon Secretary, or the Pangkat Chairman if made by the Pangkat Secretary.

Uploaded by

Murphy Red
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republika ng Pilipinas

LALAWIGAN NG RIZAL

Road A Phase IV COGEO Village, Barangay Bagong Nayon, Antipolo City 1870 Rizal, Philippines
[email protected]   647-0942   942-0358   [email protected]
www.facebook.com/BagongNayonOfficialPage   www.antipolo.ph

KP PORMULARYO BLG. 23

BARANGAY CASE NO. _______________

____________________________
COMPLAINANT/S
____________________________
____________________________
(Address)

AGAINST: FOR:

____________________________ ____________________________________
RESPONDENT/S
____________________________ ____________________________________
Barangay Bagong Nayon,Antipolo City
(Address)

CERTIFICATION TO BAR ACTION


This is to certify that the above-captioned case was dismissed pursuant to the Order
dated ______________, for complainant/s _______________ (name) and
______________ (name) willful failure or refusal to appear for hearing before the
Punong Barangay/Pangkat ng Tagapagkasundo and therefore complainant/s is/are
barred from filing an action in court/government office.

This _________ day of __________, 20____.

_________________________
Lupon Secretary/Pangkat Secretary

Attested:

__________________________
Lupon Chairman/Pangkat Chairman

IMPORTANT: If Lupon Secretary makes the certification, the Lupon Chairman attests. If the
Pangkat Secretary makes the certification, the Pangkat Chairman attests.

Barangay Bagong Nayon: Kabalikat sa Kaunlaran at Pagbabago ng Lungsod ng Antipolo.

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