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CLAS Form No.

001

COMMUNITY LEGAL AID SERVICE (CLAS) COMPLIANCE REPORT

1. Name: _______________________________________________________
2. Residential Address: ____________________________________________
3. Office Address: Unit : ____________________________________________
4. E-mail Address: ________________________________________________
5. Bar Admission Roll No: __________________________________________
6. IBP Chapter: Rizal, San Juan, Mandaluyong (RSM) IBP No: ______________
7. COMPLIANCE SUMMARY – Attached are the following documents:
a) CLAS Time Record (Annex A)
b) Certificate of Attendance (Annex B)

I hereby affirm that the above information is accurate and complete to the best of
my knowledge.

_______________________ ____________________________
Printed Name and Signature Date

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