Republic of the Philippines · City of Pagadian
SANGGUNIANG PANLUNGSODOffice of the Secretary of the Sanggunian
Freedom of Information (FOI) request
CONTROL NO. (office use)
Form SP-F09 · N a transaction
· Processing: Within 15 working days (FOI rules; for verification) · Fee: Reproduction cost only, if any (for verification)
A. Requesting party
DateTime
Name
Address / Barangay
Contact no.E-mail
Office / organization (if any)
B. Request details
Information / record requested
Period covered
Purpose
Preferred format☐ Printed copy☐ Electronic copy☐ View / inspect only
Delivery☐ Pick up at the office☐ E-mail
C. Documents attached / to be presented
- ☐ Valid government-issued ID
- ☐ Signed FOI request form
- ☐ Description of the information and its purpose
I certify that the information above is true. I consent to the collection and use of my personal data by the
Sangguniang Panlungsod only for processing this request, under the Data Privacy Act of 2012 (RA 10173).
Signature over printed name
Date
FOR OFFICE USE ONLY
Received by
Date / time
Documents complete?☐ Yes☐ No — lacking:
Referred to
O.R. no. / amount
Action taken
Released by
Date released