Republika ng Pilipinas

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

BARANGAY CASE NO. _______________

____________________________
COMPLAINANT/S
____________________________
____________________________
(Address)

AGAINST: FOR:

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

AGREEMENT FOR ARBITRATION

We hereby agree to submit our dispute for arbitration to the Punong
Barangay/Pangkat ng Tagapagkasundo (Please cross out whichever is not
applicable) and bind ourselves to comply with the award that may be rendered
thereon. We have made this agreement freely with a full understanding of its nature
and consequences.

Entered into this _____ day of _________, 20____.

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.)

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