REPUBLIC OF THE PHILIPPINES
10th Judicial Region
REGIONAL TRIAL COURT
Office of the Executive Judge
Ozamiz City
In Re: Application for Level 1 Certification, Application No. _______
JUAN D. CRUZ,
Applicant.
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APPLICATION FOR LAW STUDENT PRACTICE
CERTIFICATION LEVEL 1
I, JUAN D. CRUZ, of legal age and a resident of Purok
Makiangayon, Flores St., Barangay Dalit, Clarin, Misamis Occidental,
state unto this Honorable Court under oath that:
1. I am currently enrolled at the MISAMIS UNIVERSITY-
COLLEGE OF LAW at HT Feliciano St., Aguada, Ozamiz
City. Attached herein is the photocopy of my enrollment
assessment form marked as “Annex A”;
2. I also attached in this application here a copy of my School’s
Identification card with corresponding Student No. ________,
marked as “Annex B”;
3. I also attached in this application my original three specimen
signatures, marked as “Annex C”;
4. I have satisfactorily and successfully completed all my first year
courses. Attached herein is an original copy of Certification
issued by College of Law and hereto marked as “Annex D”;
5. I will enroll in the clinical legal education of Misamis University
College of Law Legal Aid Program for the first semester of the
academic year 2020-2021;
6. I am aware of and will abide by the limitations under Sections 4,
and the duties and obligations under Section 6-8 of Rule l 38-A
of the Rules of Court;
7. I have paid the necessary fees under Section 21(1) of Rule 141 of
the Rules of Court for the issuance of the Level 1 Certification.
1
Attached herein is a copy of the official receipt as proof of
payment and hereto marked as “Annex E”;
WHEREFORE, it is respectfully prayed that this application be approved and
the Level 1 Certification be issued.
City of Ozamiz , October __, 2020.
JUAN D. CRUZ
Applicant-Petitioner
SUBSCRIBED AND SWORN to before me, this _____day of _________ by
_______________________________ who exhibited to me his Valid ID with
No. ______________ issued at ____________, Philippines on
________________.
Doc. No. _________;
Page No. _________;
Book No. ________;
Series of _________;