APPLICATION FOR PROBATION

ACCUSED, through the undersigned counsel and unto this Honorable

Court, most respectfully applies for probation under the provisions of
Presidential Decree No. 968 as amended and states that:

1. On , the Honorable Court rendered a judgment convicting the

accused of the crime of Violation of B.P. 22 and was sentenced to a penalty
of fine of One Hundred Sixty-Seven Thousand Pesos (PhP 167,000.00) and to
indemnify the amount of One Hundred Forty-Four Thousand Pesos (PhP
144,000.00);

2. The crime for which the accused was convicted is not an offense
against national security or public order;

3. Accused has not been once placed on probation under the

provisions of Presidential Decree No. 968, otherwise known as the
Probation Law of 1976, as amended;

4. Accused has all the qualifications and none of the disqualifications

to avail of the benefits of the Probation Law.

PRAYER