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REPUBLIC OF THE PHILIPPINES

NATIONAL CAPITAL JUDICIAL REGION


Regional Trial Court
Manila City

IN RE: PETITION FOR NOTARIAL


COMMISSION FOR AND IN
MANILA CITY

Application No. __________

______________________________
Petitioner.
x------------------------------------------------x

PETITION

The undersigned petitioner, ____________________, unto this


Honorable Court most respectfully states that:

1. Petitioner is a citizen of the Philippines, single, over 21


years old and with address at _________________________.

2. He completed her law degree at the _____________ in


_______. He passed the Bar Examination given in ________, admitted
as a member of the Philippine Bar on _______ under Roll of Attorneys
No. 69134, and is exempted from Mandatory Continuing Legal
Education (MCLE) compliance until _______. A copy of her Certificate
of Membership in the Philippine Bar issued by the Supreme Court
of the Philippines Office of the Bar Confidant is attached hereto as
ANNEX A.

3. She is currently an Associate in _______________ with


office address at __________________ with telephone number
(__)____________. A copy of her business card is attached hereto
as ANNEX B. Pictures of her offices sketch and law office are
attached hereto as ANNEXES C and C-1.

4. She is a member of good standing of the Integrated Bar of


the Philippines (IBP), Quezon City as certified by IBP Quezon City
Chapter, and has paid his Lifetime Membership dues under Official
Receipt No. ____________ dated _________ and as certified by IBP
National Office. Copies of her Certifications issued by IBP Quezon
City Chapter and IBP National Office are attached hereto as
ANNEXES D and E. Copy of her Official Receipt with No. _______
dated ___________ is attached hereto as ANNEX F
5. He has no pending administrative case as certified by the
Supreme Court Office of the Bar Confidant and IBP Commission on
Bar Discipline. Copies of her Certifications issued by the Supreme
Court Office of the Bar Confidant and IBP Commission on Bar
Discipline are attached hereto as ANNEXES G and H.

6. She has paid her Professional Tax for the year 2017 as
evidence by Official Receipt No. _________ dated _________. Copy
of her Professional Tax Receipt with No. _________ dated
_____________ is attached hereto as ANNEX I.

7. She has attached a copy of her Bureau of Internal Revenue


TIN Card with No. __________ and three (3) copies of her passport-
sized ID picture for identification purposes. Copy of her Bureau of
Internal Revenue TIN Card with No. _____________ is attached
hereto as ANNEX J. Copies of her passport-sized ID pictures are
attached hereto as ANNEX K.

8. He has attached her specimen signatures and the true


impression of her dry seal as ANNEX L.

9. He has not been charged nor convicted in any court of any


crime involving moral turpitude.

10. He desires to be commissioned as Notary Public for and


in Manila City.

11. She possesses all the qualifications and none of the


disqualifications of a Notary Public nor has been charged, tried or
convicted of any crime involving moral turpitude.

12. She has not applied for commission before any other
jurisdiction.

PRAYER

WHEREFORE, in view of the foregoing, it is respectfully prayed


for this Honorable Court, after due notice, publication and hearing, to
GRANT this Petition for Appointment as Notary Public for and in Manila
City.

Other just and equitable reliefs are likewise prayed for.

________ City, ____date_______.

Respectfully submitted.

2
NAME
Petitioner
Office Address
Tel No.____________
Mobile No. __________
IBP Lifetime Member No. ________
PTR No. ________
TIN No. _________
Roll of Attorneys No. ________
MCLE Compliance No. _____________

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