REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

__________ JUDICIAL REGION
_________________, ________________

IN RE : PETITION FOR NOTARIAL

COMMISSION FOR AND IN THE
PROVINCE OF _______________________

BBE Dolphin
Petitioner,

x- - - - - - - - - - - - - - - - - - - - - - - - - x

PETITION
The undersigned Petitioner, _______________________ unto this
Honorable Court, most respectfully states that:
1. Petitioner is of legal age, born on ___________, Filipino citizen,
married, and currently residing at _____________________;
2. Petitioner holds office at ____________________________which can
be reached through cellphone numbers _______________and office
landline number___________________;
3. Petitioner commits to notify within ten (10 ) days, the Executive
Judge in case of change of the office address;
4. Petitioner has satisfactorily completed the degree of Bachelor of
Laws (Llb) at JMarvicL University,_______________ City, in
________________;
5. Petitioner passed the Bar Examinations on April 12, 2022,
signed the Roll of Attorneys on XXXX and has been admitted to
practice law in the Philippines;
6. Petitioner desires to be commissioned as Notary Public for and
in the Province of __________ and possesses all the qualifications
and none of the disqualifications for said office;
7. In compliance with the requirements of the Honorable Court for
Notarial Commission, attached hereto are the following annexes,
viz:
7.1 Integrated Bar of the Philippines (IBP) receipts dated July
XXX are hereto attached as Annex “A”;

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 7.2 Professional Tax Receipt dated July XXX is hereto attached
as Annex “B”;
7.3 Supreme Court Certificate of Bar Membership dated June
XXX is hereto attached as Annex “C”;
7.4 Supreme Court Certification of No Pending Case dated
September XXXX is hereto attached as Annex “D” ;
7.5 Certificate of Good Moral Character issued by the IBP
Bulacan Chapter dated August XXX is hereto attached as
Annex “E”;
7.6 True impression of Notarial Dry Seal made pursuant to law
is hereto attached as Annex “F”;
7.7 Specimen signatures are hereto attached as Annex “G”;
7.8 Three (3) pieces passport size pictures are hereto attached
as Annex “H”;
7.9 The outside and inside pictures of Law Office are hereto
attached as Annex “I”;
7.10 The sketch of law office and sketch location are hereto
attached as Annex “J”;
PRAYER
WHEREFORE, premises duly considered, it is most respectfully
prayed to this Honorable Court that the undersigned be commissioned as
NOTARY PUBLIC for and in the province of ____________ effective on
the date of the approval of this Petition.
October XXX, City of _____________, Province of _____________.

Atty. BBE Dophin

Petitioner
San Pedro St., Poblacion 1,
City of _____________, Province of ___________,
Contact Nos. 09272042xxx
Email : BBEdolphin24@gmail.com
Roll No. 041222
PTR No. 277498x/07.01. 2022
IBP O.R. No. 23390x-23390x/2022-2023
Admitted to the Bar on June xx, 2022

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 VERIFICATION AND CERTIFICATION
AGAINST FORUM SHOPPING

I, XXXX, of legal age, married, Filipino and a resident of Blk x Lot x, City
of ____________, Province of ______________under oath, depose and state that:
1. I am the Petitioner in the above-entitled petition;

2. I have caused the preparation of the same;

3. The statements in the petition are true and correct based on my

personal knowledge, or based on authentic documents;

4. I have not theretofore commenced any petition or filed any involving

the same prayer in any court, tribunal or quasi-judicial agency and,
to the best of my knowledge, no such other action or petition is
pending therein;

5. If I should thereafter learn that the same or similar action or petition

has been filed or is pending, I shall report that fact or complete
statement of the present status thereof within five (5) calendar days
therefrom to the court wherein my aforesaid petition has been filed.

WITNESS MY HAND AND SEAL on the date and place above written.

Atty. BBE Dolphin

Affiant

SUBSCRIBED AND SWORN to before me in the City of _____________,

this ______day of October, 2022. Affiant exhibiting to me PRC License No.
0727xx as competent evidence of identification that she is the same person
who executed the foregoing Verification and Certification Against Forum
Shopping.

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 2023

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