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Integrated Bar of the Philippines

IBP Lawyer's Registration Form_v072020

IBP LAWYER'S REGISTRATION FORM (Please write in capital letters)


IBP CHAPTER GENDER CIVIL STATUS AGE
- F M -

SURNAME FIRST NAME MIDDLE NAME SUFFIX

RESIDENCE ADDRESS DATE OF BIRTH PLACE OF BIRTH

OFFICE ADDRESS MOBILE NO. (enter 10-digit number)


e.g. 9151234567

OCCUPATION/ EMPLOYMENT TELEPHONE NO. FAX NO.

FIELD OF SPECIALIZATION EMAIL ADDRESS

LAW SCHOOL YEAR GRADUATED YEAR ADMITTED TO BAR

ID PHOTO SIGNATURE

I hereby certify under penalty of perjury that the


foregoing information are true and correct.

______________________________________
Signature over printed name

_________________________________________
Date

Upon submission of this form via email to


ibpaccounting@yahoo.com and
ibprecords.id@gmail.com, please do not forget
to attach also your 2x2" ID photo in image format
Reset Form Save
.jpg or .png and with 500x500 px resolution.

IBP Building, No.15 Doña Julia Vargas Avenue, Ortigas Center, Pasig City, Philippines 1600
+63 (02) 631-3018 | +63 (02) 634-4696 | info@ibp.ph

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