(Revised February, 2015)

For Bar Repeaters/Refreshers LAW SCHOOL GRADUATED FROM ____________

Republic of the Philippines

SUPREME COURT
Manila

In the Matter of the PETITION TO TAKE

THE 20_____ BAR EXAMINATIONS,
B.E. No. ____________________-R
O.R. No. ____________________
Amt. Pd.: P___________________

________________________________________________
Surname Given Name Middle Name
Petitioner.
x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

PETITION

COMES NOW the undersigned petitioner and to this Honorable Court respectfully states:

1. He/She is ____________(civil status), Filipino citizen, ____ years of age. All

supporting papers and documents submitted when he/she first filed a similar petition in
__________ (year) are now made an integral part hereof;

2. He/She is a person of good moral character, and attaches for this purpose three (3)
testimonials, each executed by a member of the Philippine Bar, marked as Annexes __________;

3. He/She has not been charged with any act or omission punishable by law, rule or
regulation before a prosecutor, judge, public officer or administrative body of any crime or
offense involving moral turpitude; nor has he/she any pending case or charge;

[Note: Indicate any pending or dismissed civil, criminal or administrative case against you and attach
pertinent documents: ________________________]

4. This is the __________ time that he/she is taking the Bar Examinations, having
previously taken the same in the following years:______________________________________
_____________________________________________________________________________;

5. The last time he/she took the Bar Examinations was in _________ (year) to which
he/she was conditionally/unconditionally admitted;

[Note: If conditionally admitted, state the reason therefore and whether there has been compliance:
____________________________________________________________________________________________ ]

6. He/She attaches herewith three (3) copies of his/her latest un-retouched

photograph (1½”x1½), marked as Annexes ___________; and

7. He/She is related by consanguinity or affinity within the fourth civil degree to a

member of the Supreme Court or official of the Office of the Bar Confidant.

[Note; If related to any of the Justices or officials mentioned above, state name of said Justice or official
and his/her relationship:____________________________.]

[Note; BM No. 2432 (In re: Application to take the 2011 Bar Examinations). The Court resolved to
discontinue the requirement of a Certificate of No Derogatory Record for Bar repeaters.]
 [The following paragraphs apply only to examinees
who have taken the Bar Examinations three or more times:]
8. He/She enrolled in and passed the regular fourth year law review classes (refresher
course) at the _______________________________________________ , a recognized law
school, during the school year ______________, and attaches for this purpose sworn certificates,
each executed by his/her professors in the corresponding subjects, marked as Annexes
___________.

9. The professors who executed the above-mentioned certificates are bona-fide

professors of the said law school, and he/she attaches for this purpose the sworn certificate of its
Dean/Registrar, marked as Annex ________; and

10. He/She is presently enrolled in, and is regularly attending, the Pre-Bar review
course at the _________________________________, also a recognized law school, and
attaches for this purpose the sworn certificate of the Dean/Registrar of said school, marked as
Annex _______________.

WHEREFORE, petitioner respectfully prays that he/she be allowed to take the 20___ Bar
Examinations.

___________________________, Philippines, ___________________, 20 ____.

___________________________________
Signature over Printed Name

Thumbprint (Right Hand)

___________________________________
Address & Mobile/Telephone No. while Preparing
for and taking the Bar Examinations

___________________________________
Permanent Address

VERIFICATION

Republic of the Philippines]

] S.S.

I, _____________________________________, after being sworn in accordance with

law, depose and state; that I am the Petitioner in the foregoing petition; that I prepared the
petition; that the allegations contained therein are true of my own knowledge.

_________________________________________
Affiant

2
 SUBSCRIBED AND SWORN to before me this ________ day of ____________, 20___
at _________________________, affiant having exhibited his/her TIN; Passport; or any other
government issued I.D. No. _______________________ issued at ______________________
on _________________.

Notary Public

Doc. No._____________
Page No. ____________
Book No. ____________
Series of _____________

P15.00
Documentary
Stamp

IMPORTANT REMINDERS

1. Petition will not be accepted under any of the following instances:

(a) If any of the blank herein is not properly filled;

[Note: Write “N/A” on lines which are not applicable.]
(b) If not accompanied by the required documents or papers, including proof of
payment of the Bar Examinations and other fees;
(c) If it does not strictly conform with the above form; and
(d) If filed beyond the deadline set by the Court.

2. A self-addressed and stamped letter envelope (long) must be attached to the petition
to be used in sending your Report of Rating in the Bar Examinations.