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Form Permit Court

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Mapulang Lupa Valenzuela City

The document appears to be a permit application for use of a barangay assembly hall. It contains blank fields for the applicant to provide their name, address, requested date and time, activity purpose, payment or free status, and other remarks. It is signed by the barangay secretary and punong barangay to approve the permit. Multiple copies of the same permit application are provided.

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© All Rights Reserved
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Form Permit Court

Uploaded by

Mapulang Lupa Valenzuela City
194 views3 pages
The document appears to be a permit application for use of a barangay assembly hall. It contains blank fields for the applicant to provide their name, address, requested date and time, activity purpose, payment or free status, and other remarks. It is signed by the barangay secretary and punong barangay to approve the permit. Multiple copies of the same permit application are provided.

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form permit court

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The document appears to be a permit application for use of a barangay assembly hall. It contains blank fields for the applicant to provide their name, address, requested date and time, activity purpose, payment or free status, and other remarks. It is signed by the barangay secretary and punong barangay to approve the permit. Multiple copies of the same permit application are provided.

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
194 views3 pages

Form Permit Court

Uploaded by

Mapulang Lupa Valenzuela City
The document appears to be a permit application for use of a barangay assembly hall. It contains blank fields for the applicant to provide their name, address, requested date and time, activity purpose, payment or free status, and other remarks. It is signed by the barangay secretary and punong barangay to approve the permit. Multiple copies of the same permit application are provided.

Copyright:

© All Rights Reserved
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BARANGAY MAPULANG LUPA BARANGAY MAPULANG LUPA

PERMIT PERMIT
BARANGAY ASSEMBLY HALL BARANGAY ASSEMBLY HALL
DATE: ____________________________ DATE: ____________________________
NAME/GROUP:______________________________________ NAME/GROUP:______________________________________
ADDRESS:____________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________ PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE REQUEST:____________________________________
ACTIVITY:____________________________________________ ACTIVITY:____________________________________________
TIME:_________________________________________________ TIME:_________________________________________________
REMARKS: ___________________________________________ REMARKS: ___________________________________________

BARANGAY MAPULANG LUPA BARANGAY MAPULANG LUPA


PERMIT PERMIT
BARANGAY ASSEMBLY HALL BARANGAY ASSEMBLY HALL
DATE: ____________________________ DATE: ____________________________
NAME/GROUP:______________________________________ NAME/GROUP:______________________________________
ADDRESS:____________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________ PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE REQUEST:____________________________________
ACTIVITY:____________________________________________ ACTIVITY:____________________________________________
TIME:_________________________________________________ TIME:_________________________________________________
REMARKS: ___________________________________________ REMARKS: ___________________________________________

BARANGAY MAPULANG LUPA BARANGAY MAPULANG LUPA


PERMIT PERMIT
BARANGAY ASSEMBLY HALL BARANGAY ASSEMBLY HALL
DATE: ____________________________ DATE: ____________________________
NAME/GROUP:______________________________________ NAME/GROUP:______________________________________
ADDRESS:____________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________ PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE REQUEST:____________________________________
ACTIVITY:____________________________________________ ACTIVITY:____________________________________________
TIME:_________________________________________________ TIME:_________________________________________________
REMARKS: ___________________________________________ REMARKS: ___________________________________________

BARANGAY MAPULANG LUPA BARANGAY MAPULANG LUPA


PERMIT PERMIT
BARANGAY ASSEMBLY HALL BARANGAY ASSEMBLY HALL
DATE: ____________________________ DATE: ____________________________
NAME/GROUP:______________________________________ NAME/GROUP:______________________________________
ADDRESS:____________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________ PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE REQUEST:____________________________________
ACTIVITY:____________________________________________ ACTIVITY:____________________________________________
TIME:_________________________________________________ TIME:_________________________________________________
REMARKS: ___________________________________________ REMARKS: ___________________________________________

BARANGAY MAPULANG LUPA BARANGAY MAPULANG LUPA


PERMIT PERMIT
BARANGAY ASSEMBLY HALL BARANGAY ASSEMBLY HALL
DATE: ____________________________ DATE: ____________________________
NAME/GROUP:______________________________________ NAME/GROUP:______________________________________
ADDRESS:____________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________ PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE REQUEST:____________________________________
ACTIVITY:____________________________________________ ACTIVITY:____________________________________________
TIME:_________________________________________________ TIME:_________________________________________________
REMARKS: ___________________________________________ REMARKS: ___________________________________________
ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________
ACTIVITY:____________________________________________
TIME:_________________________________________________
REMARKS: ___________________________________________

_______________________
______________________________
MARIESOL MENDOZA FERNANDO C. FRANCISCO
OIC Secretary Punong Barangay

BARANGAY MAPULANG LUPA


PERMIT
BARANGAY ASSEMBLY HALL
DATE: ____________________________
NAME/GROUP:______________________________________
ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________
ACTIVITY:____________________________________________
TIME:_________________________________________________
REMARKS: ___________________________________________

_______________________
______________________________
MARIESOL MENDOZA FERNANDO C. FRANCISCO
OIC Secretary Punong Barangay

BARANGAY MAPULANG LUPA


PERMIT
BARANGAY ASSEMBLY HALL

DATE: ____________________________ BARANGAY MAPULANG LUPA


NAME/GROUP:______________________________________ PERMIT
ADDRESS:____________________________________________ BARANGAY ASSEMBLY HALL
PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________ DATE: ____________________________
NAME/GROUP:______________________________________
ACTIVITY:____________________________________________
TIME:_________________________________________________ ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________
REMARKS: ___________________________________________
DATE REQUEST:____________________________________
ACTIVITY:____________________________________________
_______________________
______________________________ TIME:_________________________________________________
MARIESOL MENDOZA FERNANDO C. FRANCISCO REMARKS: ___________________________________________
OIC Secretary Punong Barangay
_______________________
BARANGAY MAPULANG LUPA ______________________________
PERMIT MARIESOL MENDOZA FERNANDO C. FRANCISCO
BARANGAY ASSEMBLY HALL OIC Secretary Punong Barangay
DATE: ____________________________
NAME/GROUP:______________________________________ BARANGAY MAPULANG LUPA
PERMIT
BARANGAY ASSEMBLY HALL
DATE: ____________________________
NAME/GROUP:______________________________________
ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________
ACTIVITY:____________________________________________
TIME:_________________________________________________
REMARKS: ___________________________________________

_______________________
______________________________
MARIESOL MENDOZA FERNANDO C. FRANCISCO
OIC Secretary Punong Barangay

BARANGAY MAPULANG LUPA


PERMIT
BARANGAY ASSEMBLY HALL
DATE: ____________________________
NAME/GROUP:______________________________________
ADDRESS:____________________________________________
PAYMENT:_______________________ FREE:____________
DATE REQUEST:____________________________________
ACTIVITY:____________________________________________
TIME:_________________________________________________
REMARKS: ___________________________________________

_______________________
______________________________
MARIESOL MENDOZA FERNANDO C. FRANCISCO
OIC Secretary Punong Barangay

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