PETITION

COMES NOW herein petitioner and unto this Honorable Court

most respectfully states:

1. The herein petitioner is a Filipino citizen, of legal age,

single/married and a resident of
______________________________________________________;

2. That he is a member of the Philippine Bar, he having been

admitted as such on
______________________________________________________;

3. That he has never been convicted of any crime or

misdemeanor involving moral turpitude;

4. That he is presently engaged in the general practice of law,

with offices at
______________________________________________________;

5. That he has fully paid the license for the practice of law for
the year ______ under Official Receipt No. _________ dated
____________________at _______________, and has likewise fully
paid his IBP membership for the year _____ under Official Receipt
No. ________ on _____________________, copies of which are
hereto attached as Annexes "A" and "B", respectively.

6. That he complied the Mandatory Continuing Legal Education

with MCLE Compliance No. _______________, dated
_____________.

WHEREFORE, the herein petitioner respectfully prays that he

be appointed Notary Public in and for _______________ for the term
ending December 31, ________.

Baguio City, ___________________.

______________________
Petitioner

JURAT