SCHOOL OF LAW-CLEP INTAKE FORM

General Luna Road, Baguio City Philippines 2600

Website: https://www.facebook.com/ubaguioclep E-mail Address: ubsolclep@ubaguio.edu

Complete Preliminary
Interview Information Processed Version

Name of Legal Aid

Applicant

Date of Request
Address

Venue of Legal
Concern
Contact Information

Citizenship
Civil Status
Employment/Business

Annual Income

Educational Attainment

Nature of Legal
Assistance Sought

Documents submitted
(if any)

Narration of Facts**

Other concerns

CLIENT SIGNATURE: ________________________________________

SUPERVISING LAWYER: ______________________________________

______________________________________
SIGNATURE OVER PRINTED NAME

ASSISTED BY: ______________________________________________

LAW STUDENT PRACTITIONER

Disclaimer: All information provided on this consultation form will be protected under the Data Privacy Act of the Philippines to
ensure confidentiality and privacy. The information collected will only be used for the purposes of legal consultation and
representation. Rest assured that your personal information and legal concerns will be treated with utmost confidentiality by the
members of Legal Student Practitioner and the University of Baguio.
 SCHOOL OF LAW-CLEP INTAKE FORM
General Luna Road, Baguio City Philippines 2600

Website: https://www.facebook.com/ubaguioclep E-mail Address: ubsolclep@ubaguio.edu