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    Integrated Bar of The Philippines Pangasinan Chapter

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    nicakyut
    The document is an application form for legal assistance from the Integrated Bar of the Philippines Pangasinan Chapter. It requests information such as the applicant's name, address, contact details, civil status, employment profile including monthly family income and nature of legal assistance needed. The applicant is asked to provide a concise statement of their legal problem or complaint and must sign to attest that the information provided is truthful. The assisting counsel will then indicate the action taken on the application.

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    Integrated Bar of The Philippines Pangasinan Chapter

    Uploaded by

    nicakyut
    15 views1 page
    The document is an application form for legal assistance from the Integrated Bar of the Philippines Pangasinan Chapter. It requests information such as the applicant's name, address, contact details, civil status, employment profile including monthly family income and nature of legal assistance needed. The applicant is asked to provide a concise statement of their legal problem or complaint and must sign to attest that the information provided is truthful. The assisting counsel will then indicate the action taken on the application.

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    The document is an application form for legal assistance from the Integrated Bar of the Philippines Pangasinan Chapter. It requests information such as the applicant's name, address, contact details, civil status, employment profile including monthly family income and nature of legal assistance needed. The applicant is asked to provide a concise statement of their legal problem or complaint and must sign to attest that the information provided is truthful. The assisting counsel will then indicate the action taken on the application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    15 views1 page

    Integrated Bar of The Philippines Pangasinan Chapter

    Uploaded by

    nicakyut
    The document is an application form for legal assistance from the Integrated Bar of the Philippines Pangasinan Chapter. It requests information such as the applicant's name, address, contact details, civil status, employment profile including monthly family income and nature of legal assistance needed. The applicant is asked to provide a concise statement of their legal problem or complaint and must sign to attest that the information provided is truthful. The assisting counsel will then indicate the action taken on the application.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    INTEGRATED BAR OF THE PHILIPPINES

    PANGASINAN CHAPTER
    Judge Jose R. De Venecia Sr. Memorial Hall
    Bonuan Tondaligan, Dagupan City, Pangasinan
    Tel.No. (075) 653-0119

    LEGAL AID OFFICE


    APPLICATION FOR LEGAL ASSISTANCE
    FILE NO. _________
    DATE:___________
    APPLICANTS PROFILE:
    NAME:_______________________________________________________________________________________
    ADDRESS:___________________________________________________________________________________
    TEL.NO/CP NO.:____________________________________
    CIVIL STATUS:______________________________________
    (If married, write names of children: if employed, indicate name and address of employer)
    _____________________________________________
    _____________________________________________
    _____________________________________________

    EMPLOYMENT PROFILE:
    Name/Address Of Employer
    _____________________________________________
    _____________________________________________
    Monthly Family Income:

    _____________________________________________
    _____________________________________________
    _____________________________________________

    If Self-Employed, Indicate Source Of Income:


    _________________________________________________
    _________________________________________________

    Php___________________________

    Nature of Legal Assistance requested:


    ________________________________________________________________________________________________
    ________________________________________________________________________________________________
    Concise statement of Applicants Problem/Complaint:
    ________________________________________________________________________________________________
    ________________________________________________________________________________________________
    ________________________________________________________________________________________________
    I hereby affix my signature to attest to the truth of the foregoing facts.
    (Nilalagdaan kop o ito bilang pagpapatunay na ang lahat na nakasaad sa itaas ay pawing katotohanan.)
    ____________________________________
    Signature over printed name of applicant
    Action taken (to be accomplished by assisting counsel)
    ____________________________________________________________________________________________________________
    ____________________________________________________________________________________________________________
    ____________________________________________________________________________________________________________

    ATTY. ______________________________
    Assisting Counsel

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