REPUBLIC OF THE PHILIPPINES

7th JUDICIAL REGION

REGIONAL TRIAL COURT
BRANCH 66, TALISAY CITY, CEBU

People of the Philippines,

Plaintiff, CRIM. CASE NO. TCR _________________
FOR: _________________________________
-versus-
CRIM. CASE NO. TCR _________________
__________________________, FOR: _________________________________
Accused.
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APPLICATION FOR PROBATION

(FOR ACCUSED)

The undersigned accused, _____________________________________,

hereby applies for probation under the provisions of Presidential Decree No.
968, as amended, and declares:

1. That accused ______________________ is of legal age, and a

resident of __________________________________________;

2. That he has been charged for Violation of

_____________________________________;

3. That he pleaded guilty to the offense charged, and was

sentenced to suffer the penalty of
____________________________;

4. That the crime for which he was convicted is not an offense

against the security of the state and not a crime against
public order;

5. That he has not previously been convicted by final judgment

of any offense punished by imprisonment of not less than one
(1) month and one (1) day and/or fine of not less than two (2)
Hundred Pesos (P 200.00) and;

6. That he has not been on Probation under the provision of

P.D. 968, as amended.

Talisay City, Cebu, Philippines ___________________________.

_________________________________
Accused
 PUBLIC ATTORNEY’S OFFICE
Hall of Justice Building
Lawaan II, Talisay City, Cebu

MARIA EDBIESA B. SALVE

Public Attorney II
IBP NO. 0995958, January 6, 2019
Roll of Attorney’s No. 57642
MCLE Compliance No. V-00019670

The Hon. Clerk of Court

RTC Branch 66, Talisay City, Cebu

Greetings:

Please submit the foregoing application for probation for the approval
and consideration of the Honorable Court immediately upon receipt hereof.
Thank You

MARIA EDBIESA B. SALVE

Copy furnished:

HON. BENJO LUTHER MACION

Talisay City Prosecutor’s Office
Hall of Justice, Talisay City
6000 Cebu

Received by: ___________________

Date: __________________________