REPUBLIC OF THE PHILIPPINES
National Capital Judicial Region
REGIONAL TRIAL COURT
Office of the Executive Judge
Pasay City
In Re: Application for Level 1 Certification Application No. ____________
Name of Applicant,
Applicant.
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APPLICATION
I, (name of applicant), of legal age and a resident of (complete address),
state under oath that:
1. I am currently enrolled at the Philippine Law School at 942 Donada St
Corner San Juan St, Malibay, Pasay, 1300 Metro Manila;
2. I have satisfactorily and successfully completed all my first year courses;
3. I am currently enrolled in the school’s clinical legal education program
for the First Semester of School Year 2022-2023;
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 receipts as proof of payment.
WHEREFORE, it is respectfully prayed that this application be approved
and the Level 1 Certification be issued.
City of Pasay. Date.
SUBSCRIBED AND SWORN to before me, this ____ day of _________,
2022 in the City of Pasay by (name of applicant), who is personally known to me
and who exhibited to me his/her (ID No, Issuer, Date of Issuance/Expiry).
NOTARY PUBLIC
Doc. No: ___;
Page No: ___;
Book No: ___;
Series of 2022.