(Date)

Honorable Chief Justice ______________________________

and The Honorable Members of the Judicial and Bar Council

Thru: The Office of Recruitment Selection & Nomination

2nd Floor, Centennial Building,
Supreme Court of the Philippines
Padre Faura St., Manila

Your Honors,

Greetings!

Respectfully transmitted herewith are the following requirements:

A. Application Letter
B. Personal Data Sheet
C. Transcript of Law School Records
D. PSA-issued birth certificate (not NSO)
E. Certificate of Admission to the Bar (with Bar rating) and clearance/certification of no
pending administrative case issued by the OBC
F. Certificate of payment of membership dues by the IBP
G. Certificate of Employment Service Record
H. Certification of Assumption of Duty
I. Clearance of pending or decided cases against me issued by my current employer
J. Clearance from the Office of the Bar Confidant
K. Certificate of Compliance with the Mandatory Continuing Legal Education Program for
the (___) compliance period
L. Certificate of Compensation Payment/Tax Withheld for the years (_________________)
M. Sworn Statements of Assets, Liabilities and Net Worth (SALNs) for the years
(_________)
N. Bank Certifications
O. Accomplished Individual Performance Commitment and Review (IPCR) Forms for
(_____)
P. Two (2) sample pleadings
Q. Results of the following medical examinations conducted within 6 months prior to the
deadline
Complete Blood Count
Routine urinalysis
Blood chemistry – FBS, BUN, Creatine, Uric Acid, Cholesterol and SGPT
Electrocardiogram (12-Lead)
R. Results of Chest X-Ray
S. Medical Certificate
T. Certification of no pending case issued by the Office of the President
U. lBP Clearance
V. NBI Clearance
W. Ombudsman Clearance
X. Police Clearance
Y. Flash drive containing soft copies of the documentary requirements

All the documents I submitted are complete and up to date. I am solely responsible for any
incomplete or out-of-date documents or data. I used the latest version of the Personal Data
Sheet and all the fields therein were accomplished.

Thank you very much!

Very truly yours,

Applicant’s name
Roll Number: xxxx
Contact Number: 09xxxxxxxx
Email Address: xxxxxxxx@gmail.com