(MCLE Form 3) Attorney's MCLE Compliance Report (Electronic PDF Form)

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

ATTORNEY’S MCLE COMPLIANCE REPORT

Saba Cristian Perez


1. Name: _____________________________________________________________________
Surname First Name Middle Name Suffix

64800
2. Roll of Attorney No. __________ 04/29/2015 E-mail address: ________________
Year Admitted: __________
saba.clomnl@gmail.com

0465204256
3. Telephone: ________________ (905) 216-8170
Mobile No: ____________________________________
Male
4. Sex: __________ Single Birthdate: __________
Female Civil Status: __________ 04/28/1989 Pinamalayan,Oriental Mindoro
Birthplace: _______________
mm/dd/yyyy

B12, L16, Regal Homes, Alapan 1-A, Imus, Cavite 4103


5. Home Address: _______________________________________________________________

Room 214, Manila City Hall, Ermita, Manila


6. Work Address: _______________________________________________________________

Home address
7. Preferred Mailing Address: _______________________________________________________

DLSU Law
8. Law School: ___________________________________ Manila IV
IBP Chapter: ____________________

9. COMPLIANCE CREDIT SUMMARY:


(Leave this item blank, except for dates and the name of the provider/s)

Title of MCLE Activity/Program : Subject : Provider : Date : Category of Participation : CU


Area of Activity (Attendee, Law Lecturer, Prof.
, Bar Reviewer, Author/ Editor)

___________________________ : _________ : ________


IBP RSM Rizal Chapter
: _______
March 4, 2022
: ________________________ : ______
___________________________ : _________ : ________
IBP RSM Rizal Chaoter
: _______
March 5, 2022
: ________________________ : ______
___________________________ : _________ : ________
IBP RSM Rizal Chapter
: _______
March 11, 2022
: ________________________ : ______
___________________________ : _________ : ________
IBP RSM Rizal Chapter
: _______
March 12, 2022
: ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______

10. I hereby certify that the above information are true and complete of my own personal knowledge.

MCLE Office Data Privacy Policy Pursuant to the Data Privacy Act (RA 10173):
By signing this form, you agree that the MCLE Office may collect, record, organize, update, use, consolidate, disclose or
otherwise process personal data, as provided herein, for the following purposes:

1. Recording, processing, maintenance and updating of your MCLE record of attendance / compliance / exemption;
2. Other lawful, legitimate and authorized purposes of the MCLE Office upon compliance with reasonable guidelines
set by the MCLE Governing Board.

Sufficient security controls are implemented to protect your data, and any data herein collected, recorded, organized,
updated, used, consolidated or provided shall be protected and accessed only by authorized MCLE personnel.

03/23/2022
mm/dd/yyyy Cristian P. Saba
__________________________
__________________
Date Printed Name and Signature Reset Form Save

You might also like