A-3 Lupon Appointment 2

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BJ Form No.

REPUBLIC OF THE PHILIPPINES


CITY OF MANILA
BARANGAY _________, ZONE _____, DISTRICT_____

OFFICE OF THE PUNONG BARANGAY

________________, 2010
(Date)

APPOINTMENT

TO: ______________________________

Pursuant to Chapter VII, 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 the office and until a new Lupon is
constituted on the year following your appointment.

______________________________
Punong Barangay

ATTESTED BY:

_____________________________
Barangay Secretary

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