REPUBLIC OF THE PHILIPPINES

7th Judicial Region

Regional Trial Court
Dumaguete City

IN RE: PETITION FOR APPOINTMENT

AS NOTARY PUBLIC IN DUMAGUETE CITY

CASENO.123456
Nash Denver Baya,
Petitioner.
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PETITION
Undersigned Petitioner and unto this Honorable Court most respectfully states that:
1. Petitioner is a Filipino citizen, over twenty-one years of age, and a resident
in the Philippines since birth and with office address at ABC Building,
Barangay Piapi, Dumaguete City;
2. Petitioner was admitted to the Philippine Bar on April 11, 2021 with Roll of
Attorney No. 101818. A photocopy of petitioner’s Certificate of
Membership in the Philippine Bar issued by the Office of the Bar Confidant
is attached as Annex A of this petition;
3. Petitioner is a lawyer in good standing with clearances from the Office of the
Bar Confidant of the Supreme Court and the Integrated Bar of the
Philippines, attached as Annexes “B” and “C”;
4. Petitioner has not been convicted in the first instance of any crime involving
moral turpitude, nor charged in any administrative case in connection with
her present profession;
5. Petitioner has not yet applied nor been commissioned as Notary Public in
any other jurisdiction;
 6. Petitioner is a registered member of the Integrated Bar of the Philippines as
supported by a photocopy of the Official Receipt of yearly dues as of
January 2022, attached as Annex “D”;
7. Petitioner has paid his Professional Tax Receipt for the year 2022 under
Official Receipt No. 0416909 dated March 13, 2022 at Dumaguete City.
Photocopy of the receipt is attached as Annex “E” of this petition;
8. Petitioner will submit her notarial books and acknowledged documents after
the expiration of her notarial commission as provided for by law;
9. Petitioner possesses all the qualification and none of the disqualifications for
the Office of the Notary Public and have read, understood and is willing to
abide with the 2004 Rules on Notarial Practice;
10.Petitioner is attaching at Annex “F”, a facsimile of her notarial seal prepared
in accordance with Section 2, Rule 7 of the 2004 Rules on Notarial Practice
for approval of this Honorable Court, together with 3 specimens of his
official signature.
11.Also submitted are petitioner’s 3 passport sized colored photographs with
light background, take not more than 30 days prior to the filing of this
petition;

WHEREFORE, it is most respectfully prayed that:

A certificate of authorization to purchase notarial seal as provided under

Section 9, Rule 3 of 2004 Rules on Notarial Practice, and certificate of
authority for a notarial act as provided under Section 1, Rule IX of the same
Rules be issued in favor of the petitioner.

Dumaguete City, Philippines, December 1, 2022

VERIFICATION AND CERTIFICATION

I, Nash Denver Baya, of legal age, married, Filipino and a resident

of Barangay Paipi, Dumaguete City, under oath depose and state that:
 a) I am the Petitioner in the above captioned case; I have caused the
preparation of the same;
b) I have read the allegations contained therein; and
c) I certify that they are all true and correct of my personal knowledge or
based on authentic records.
In witness whereof, I have hereunto set my hand this 1st day of December at
Dumaguete City, Philippines.

Nash Denver Baya

Affiant

SUBSCRIBED AND SWORN to before me, a notary public in and for

Dumaguete City, this 1st day of December 2022 at Dumaguete City, Philippines,
affiant appearing before me with his SSS Identification Card with No. 123456
issued on April 12, 2010 at Dumaguete City and presenting to me a document
entitled Re: Petition for Appointment As Notary Public in Dumaguete City,
affiant being known to me personally as he is a friend, and who signed said
document in my presence and sworn as to said document that he understood the
contents thereof and that the same was his free and voluntary act and deed.

Atty. Banny Pornobi

IBP NO. 854908, 1/02/12, Dumaguete City
PTR NO. 3621460, 1/02/12, Dumaguete City
Roll Attorney NO. 32747
MCLE Comp. No. IV-0004785, 3/2/12