Form - 1 A SCC
Form - 1 A SCC
FORM 1-A-SCC
REPUBLIC OF THE PHILIPPINES
_______________________________
_______________________________
_______________________________
______________________________,
Plaintiff,
vs.
______________________________,
Defendant
x------------------------------------------------x
STATEMENT OF CLAIM
Plaintiff respectfully alleges:
1. The personal circumstances of the parties are as follows:
NAME OF PLAINTIFF/S
_____________________________
SEX
AGE
______ ______
CIVIL STATUS
________________
ZIP CODE
_________
NAME OF DEFENDANTS//S
SEX
AGE
CIVIL STATUS
_____________________________
_____
_____
________________
ZIP CODE
_________