REPUBLIC OF THE PHILIPPINES
National Capital Judicial Region
REGIONAL TRIAL COURT
Office of the Executive Judge
City of Manila
In Re: Application for Level 1 Certification, Application No.___________
BRIGETTE FLORENDA L. DOMINGO,
Applicant.
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APPLICATION
I, Brigette Florenda L. Domingo, of legal age and a resident of Block 12., Phase 2,
Casimiro Westville Homes, Ligas 3, Bacoor City, Cavite, state under oath that:
1. I am currently enrolled at the San Sebastian College-Recoletos, College of Law at
Claro M. Recto Ave., Manila, Philippines;
2. I have satisfactorily and successfully completed all my first year courses;
3. I will enroll in the school's clinical legal education program for the second semester of
academic year 2021-2022;
4. I am aware of and will abide by the limitations under Sections 4, and the duties and
obligations under Section 6 - 8 of Rule 138-A of the Rules of Court;
5. 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. Attached herein is a copy of the official receipt as
proof of payment;
WHEREFORE, it is respectfully prayed that this application be approved and the Level
1 Certification be issued.
Manila, 23 February 2022.
BRIGETTE FLORENDA L. DOMINGO
Applicant
SUBSCRIBED AND SWORN to before me this 23rd day of February 2022 at the City
Hall of Taguig affiant having exhibited to me her Driver’s License with ID No. D06-15-009995,
valid until 27 January 2023.
Doc. No. ____;
Page No. ____;
Book No.____;
Series of 2022.