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LICATION FOR REPARATION AND/OR RECOGNITION (Please write legibly in black ink) WARNING: Direct or indirect commission of fraud, collusion, falsification, misrepresentation of facts, or any other kind of anomaly in the accomplishment of this form, or in obtaining any benefit under this application shall be subject to CRIMINAL ACTION, punishable by 8-10 years imprisonment and other accessory penalties as provided for under Republic Act No. 10368, Sec. 25. Application for REPARATION RECOG.

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