Sample, Legazpi City
Nagkakaisa, Nagmamalasakit, Naglilingkod
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Barangay Clearances & Certificates
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Blotter
Are you a registered resident of this barangay?
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Age
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Contact Number
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Address
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Civil Status
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Single
Married
Widowed
Divorced
Separated
Respondent Name
*
Date of Incident
*
Time of Incident
*
Place of Incident
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Type of Incident
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Unjust Vexation
Physical Injury
Theft
Grave Threats
Property Damage
Harassment
Disturbance of Peace
Trespassing
Robbery
Defamation
Vandalism
Scam / Fraud
Coercion
Other
Brief Description of the Incident
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