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LALAWIGAN NG RIZAL
LUNGSOD NG ANTIPOLO
TANGGAPAN NG
Road A Phase IV COGEO Village, Barangay Bagong Nayon, Antipolo City 1870 Rizal, Philippines
LUPONG
barangay_bagongnayon@yahoo.com 647-0942 942-0358 bagongnayon.antipolo@gmail.com
www.facebook.com/BagongNayonOfficialPage www.antipolo.ph
TAGAPAMAYAPA
KP PORMULARYO BLG. 25
____________________________
COMPLAINANT/S
____________________________
____________________________
(Address)
AGAINST: FOR:
____________________________ ____________________________________
RESPONDENT/S
____________________________ ____________________________________
Barangay Bagong Nayon,Antipolo City
(Address)
2. The period of ten (10) days from the above-stated date has expired without any
of the parties filing a sworn statement of repudiation of the settlement before the
Lupon Chairman a petition for nullification of the arbitration award in court; and
_______________
(Date)
______________________
Complainant/s / Respondent/s