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CDA-SEU-FR-009 Mediation Conciliation Report Form

CDA report form for mediation/ conciliation conducted

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Revision No. 1

Office of the President
COOPERATIVE DEVELOPMENT AUTHORITY

REPORTS ON MEDIATION/CONCILIATION CONDUCTED
For the Semestral ending, _____________, _________
Name of Cooperative: _______________________________
Address: _________________________________________
Registration No: ___________________________________
PARTIES INVOLVED
Ref./s No.

NATURE OF
CONTROVERSIES/ ISSUES
MEDIATED/CONCILIATED

NAME OF
COMPLAINANT/s or
REQUESTING PARTY

NAME OF RESPONDENT/s
or RESPONDING PARTY

NAME OF
MEDIATOR/CONCILIATOR

Prepared & Submitted by:

Noted by:

_________________________________
Member
Mediation & Conciliation Committee

_________________________________
Chairman
Mediation & Conciliation Committee

RESULTS/AGREEMENT

REMARKS
 
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