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Ynes Mapagtampo,
Complainant
X-------------------------------------------------------X
C O M P LA I N T
CAUSES OF ACTION
A. Illegal Dismissal...........................................................(x)
B. Non-payment of:
1. Salary.................................................................( )
2. Overtime Pay.....................................................( )
3. Vacation/Sick Leave Pay...................................( )
4. Others: Specify Return of her placement fee
C. Underpayment..............................................................(x)
Specify Payment of her salary for 23 months, Withheld amount for repatriation cost
D. Refund of Transportation Fare.....................................(x)
E. Others: Moral and Exemplary Damages
RELIEF
Complainant prays for the following:
Payment of:
1. Placement Fee
2. Repatriation cost
3. Payment of her salary for 23 months
4. Moral and Exemplary Damages
____________________________________
(Complainant)
____________________________________
(Counsel)
Address: ____________________________
____________________________________
____________________________________
V E R I FI CAT I O N
I, _____________________________________________________________________
being
duly Sworn to in accordance with law, state that:
I am the complainant in the above-entitled case. I have caused the filing and preparation
of this complaint and have read the contents thereof and declatre the same to be true and
correct.
I further certify that I have not commenced any other action/proceedings in any court,
tribunal, or agency involving the same issue and that there is no such pending case before the
said court, tribunal, or agency. If I should learn about the same, I shall report it to this Office
within five (5) days from knowledge thereof.
____________________________________
(Complainant)
CTC No: ____________________________
Issued at: ____________________________
Issued on:____________________________
____________________________________
(Administering Officer)
Ynes Mapagtampo,
Complainant
X-------------------------------------------------------X
SUMMONS
GREETINGS:
You are hereby required to appear at the mandatory conciliation and mediation
conference of this case to be held on two (2) settings:
1Time: __________ Date: _____________ Place: __________________________
2Time: __________ Date: _____________ Place: __________________________
Your failure to appear in the two (2) scheduled mandatory conciliation and mediation
conferences shall be a ground for the dismissal of the case without prejudice.
___________________________
LABOR ARBITER
____________________________________
(Administering Officer)
X-------------------------------------------------------X
SUMMONS
GREETINGS:
You are hereby required to appear at the mandatory conciliation and mediation
conference of this case to be held on two (2) settings:
1Time: __________ Date: _____________ Place: __________________________
2Time: __________ Date: _____________ Place: __________________________
3
A motion to dismiss is prohibited, except on the grounds of lack of jurisdiction over the
subject matter, improper venue, res judicata, prescription and forum shopping.
If you fail to appear during the first scheduled conference, the second conference as
scheduled herein shall proceed. If you still fail to appear at the second conference despite being
duly served this Summons, you shall be considered to have waived your rght to file position
paper. The mandatory conciliation and mediation conference shall be terminated and the
complainant shall be directed to file a verified position paper and submit evidence in support of
her causes of action and thereupon a decision on the basis of the evidence on record shall be
rendered.
___________________________
LABOR ARBITER
____________________________________
(Administering Officer)
Ynes Mapagtampo,
Complainant
-versus- NLRC CASE NO. RAB-CAR-78569001
X-------------------------------------------------------X
SUMMONS
TO:
_______________________________
_______________________________
GREETINGS:
You are hereby required to appear at the mandatory conciliation and mediation
conference of this case to be held on two (2) settings:
1Time: __________ Date: _____________ Place: __________________________
2Time: __________ Date: _____________ Place: __________________________
3
A motion to dismiss is prohibited, except on the grounds of lack of jurisdiction over the
subject matter, improper venue, res judicata, prescription and forum shopping.
If you fail to appear during the first scheduled conference, the second conference as
scheduled herein shall proceed. If you still fail to appear at the second conference despite being
duly served this Summons, you shall be considered to have waived your rght to file position
paper. The mandatory conciliation and mediation conference shall be terminated and the
complainant shall be directed to file a verified position paper and submit evidence in support of
her causes of action and thereupon a decision on the basis of the evidence on record shall be
rendered.
___________________________
LABOR ARBITER
____________________________________
(Administering Officer)
Ynes Mapagtampo,
Complainant
X-------------------------------------------------------X
SUMMONS
TO:
_______________________________
_______________________________
GREETINGS:
You are hereby required to appear at the mandatory conciliation and mediation
conference of this case to be held on two (2) settings:
1Time: __________ Date: _____________ Place: __________________________
2Time: __________ Date: _____________ Place: __________________________
3
A motion to dismiss is prohibited, except on the grounds of lack of jurisdiction over the
subject matter, improper venue, res judicata, prescription and forum shopping.
If you fail to appear during the first scheduled conference, the second conference as
scheduled herein shall proceed. If you still fail to appear at the second conference despite being
duly served this Summons, you shall be considered to have waived your rght to file position
paper. The mandatory conciliation and mediation conference shall be terminated and the
complainant shall be directed to file a verified position paper and submit evidence in support of
her causes of action and thereupon a decision on the basis of the evidence on record shall be
rendered.
___________________________
LABOR ARBITER
____________________________________
(Administering Officer)