Republic of the Philippines · City of Pagadian
SANGGUNIANG PANLUNGSODOffice of the Secretary of the Sanggunian
Copy of minutes, journal or session record
CONTROL NO. (office use)
Form SP-F04 · Complex transaction
· Processing: For verification · Fee: For verification
A. Requesting party
DateTime
Name
Address / Barangay
Contact no.E-mail
Office / organization (if any)
B. Request details
Record☐ Minutes☐ Journal☐ Transcript☐ Attendance
Session☐ Regular☐ Special☐ Committee hearing
Session date(s) or subject
Purpose
C. Documents attached / to be presented
- ☐ Valid government-issued ID
- ☐ Written request letter
- ☐ Session date or subject matter
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