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. 2

____________, 20__

APPOINTMENT

TO: ________________

Pursuant to Chapter 7, Title One, Book III, Local Government Code of 1991
(Republic Act No. 7160), you are hereby appointed MEMBER of the Lupong
Tagapamayapa of this Barangay effective upon taking your oath of office and until
a new Lupon is constituted on the third year following your appointment.

LARRY T. ONZA
Punong Barangay

ATTESTED:

JENNIFER ANN O. RAFAEL

Barangay Secretary

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