REPUBLIC OF THE PHILIPPINES

________________________
________________________
________________________
________________________

THE PEOPLE
OF THE PHILIPPINES,
Plaintiff, CRIM. CASE NO.
_____________________
- versus –

________________________,
Accused.
x----------------------------------------------x

APPLICATION FOR PROBATION

Accused, ________________________, presently detained at the

________________________, assisted by the ________________________through
the undersigned ________________________, unto this Honorable Court most
respectfully avers that:

1. Accused availed of plea bargaining wherein accused pleaded guilty to a lesser

offense of violation of section 12, Art. II RA 9165 for criminal case docketed
as ________________________;

2. The case proceeded for judgment and the accused was sentenced to suffer
imprisonment and payment of fine in the Order of this Honorable Court dated
________________________;

3. Accused wishes to apply for probation for the imposed penalty yet to be
served;

4. Accused has not been convicted by final judgment of any other crime, thus,
qualified to avail of the probation program;

5. The offense for which the Accused was convicted is not a crime against the
Security of the State and Public Order, and he does not suffer from any of the
disqualifications of Probation Law and has not been previously placed on
probation;

6. Accused is sincerely remorseful of having committed the offense and if

granted probation, he is willing to undergo supervision under such terms and
conditions that may be imposed by the Honorable Court;

PRAYER

WHEREFORE, premises considered, in the interest of justice and for

humanitarian consideration, it is most respectfully prayed upon this Honorable Court that
this Application for Probation be considered and granted.

Other reliefs just and equitable are likewise prayed for.

Respectfully submitted.
________________________.

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