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Application

The applicant is applying for a Level 2 certification to participate in a clinical education program. The applicant has completed their first year courses and is enrolled in the second semester clinical program. The applicant acknowledges the rules and has paid the necessary fees.

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34 views2 pages

Application

The applicant is applying for a Level 2 certification to participate in a clinical education program. The applicant has completed their first year courses and is enrolled in the second semester clinical program. The applicant acknowledges the rules and has paid the necessary fees.

Uploaded by

Concerned Citizen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION


REGIONAL TRIAL COURT
OFFICE OF THE EXECUTIVE JUDGE
PASAY CITY

In Re: Application for Level 2


Certification
Application No.
__________
VERTINE PAUL F. BELER
Applicant,

X---------------------------------X

APPLICATION

I, VERTINE PAUL BELER, of legal age, and a resident of BLK 8 LOT 47


DALINGDINGAN St. VILLA LUISA HOMES, PHASE 1, SAN AGUSTIN
3, DASMARINAS City, CAVITEstate under oath that:

1. I am currently enrolled at Arellano University School of Law, Taft


Avenue corner Menlo Street, Pasay City;

1. I have satisfactorily and successfully completed all my first year


courses;

1. I am enrolled in the school’s clinical education program for the


second semester of academic year 2021-2022;

1. I am aware of and will abide by the limitations under Section 4, and


the duties and obligation under Section 6-8 of Rule 138-A of the Rules of
Court;

1. I have paid the necessary fees under Section 21 (1) of Rule 141 of the
Rules of Court for the issuance of the Level 2 Certification. Attached herein
is a copy of the official receipt as proof of payment;
PRAYER

WHEREFORE, it is respectfully prayed that this application be approved


and the Level 1 Certification be issued.

City of Pasay, 17th day of February

VERTINE PAUL F. BELER


CLEP 2 Applicant
BLK 8 Lot 47 Dalingdingan St. Villa Luisa Homes 1, San Agustin 3,
Dasmarinas City, Cavite
[email protected]
+639065167154

SUBSCRIBED AND SWORN  TO before me , a notary public in the


__________________________ in this
__________________________________, affiant with government id with
picture _______________ who have satisfactorily proven to me his
identification through the identification card’s photograph and signature that
he / she is the same person who voluntarily signed the foregoing verification
in my presence and acknowledged before me that she executed the same in
compliance with Section 2, 6 and 12 of Rule II of the 2004 Rule of Notarial
Practice as amended by AM No. 02-8-13 SC.

Doc No. _________


Page No. ________
Book No. ________
Series of 2022

NOTARY PUBLIC

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