RECORD ON APPEAL

BE IT REMEMBERED, that on dates herein respectively

mentioned, the following proceedings took place in the regional Trial
court of ______________, to wit:

1. That on _______________, the plaintiff-appellee filed a

complaint against the defendant-appellant, in the following tenor:

(copy complaint)

2. That on ______________, the defendant-appellant filed his

answer to said complaint, as follows:

(copy answer)

3. That after due hearing, the court, on _________________,

rendered the following decision:
(copy decision)

4. That on ______________, defendant-appellant filed a motion

for reconsideration of the following tenor:

(copy motion for reconsideration)

5. That on _______________, the court issued an order

denying said motion for reconsideration, to wit:

6. That on ______________________, defendant-appellant

received notice of said order denying his motion for reconsideration,
and on ________________ filed his Notice of Appeal to the Court of
Appeals, as follows:

(copy notice of appeal)

WHEREFORE, the defendant -appellant prays for the approval

of this Record on Appeal and that the same be transmitted to the
Court of Appeals, together with all the oral and documentary evidence
given and presented at the trial of the above-entitled case.

Baguio City, ______________________.

_______________________
Counsel for Defendant-
Appellant
_____Address___________
 _____IBP No.__________
_____Roll No.___________
_MCLE Compliance No.___

NOTICE OF HEARING