ATTORNEY’S MCLE COMPLIANCE REPORT

MILLAN MARIA RUFFA DEVERA

1. Name: _____________________________________________________________________
Surname First Name Middle Name Suffix

paomillan_23@yahoo.com
69527
2. Roll of Attorney No. __________ 05/31/2017
Year Admitted: __________ E-mail address: ________________

3. Telephone: ________________ Mobile No: ____________________________________

(933) 829-2088

Male
Married Birthdate: __________
Female Civil Status: __________
4. Sex: __________
01/20/1987 Calasiao, Pangasinan
Birthplace: _______________
mm/dd/yyyy
#16 San Miguel, Calasiao, Pangasinan
5. Home Address: _______________________________________________________________

Baguio Water District, DPS Compound, Marcoville, Baguio City

6. Work Address: _______________________________________________________________

#16 San Miguel, Calasiao, Pangasinan

7. Preferred Mailing Address: _______________________________________________________

University of the Cordilleras Pangasinan Chapter

8. Law School: ___________________________________ IBP Chapter: ____________________

9. COMPLIANCE CREDIT SUMMARY:

(Leave this item blank, except for dates and the name of the provider/s)

Title of MCLE Activity/Program : Subject : Provider : Date : Category of Participation : CU

Area of Activity (Attendee, Law Lecturer, Prof.
, Bar Reviewer, Author/ Editor)

SYNCHRONOUS MCLE ONLINE SEMINAR

___________________________ : _________ : ________
IBP Pampanga
: _______
01/08/2022
: ________________________ : ______
SYNCHRONOUS MCLE ONLINE SEMINAR
___________________________ : _________ : ________
IBP Pampanga
: _______
01/15/2022
: ________________________ : ______
SYNCHRONOUS MCLE ONLINE SEMINAR
___________________________ : _________ : ________
IBP Pampanga
: _______
01/22/2022
: ________________________ : ______
SYNCHRONOUS MCLE ONLINE SEMINAR
___________________________ : _________ : ________
IBP Pampanga
: _______
01/29/2022
: ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______
___________________________ : _________ : ________ : _______ : ________________________ : ______

10. I hereby certify that the above information are true and complete of my own personal knowledge.

MCLE Office Data Privacy Policy Pursuant to the Data Privacy Act (RA 10173):
By signing this form, you agree that the MCLE Office may collect, record, organize, update, use, consolidate, disclose or
otherwise process personal data, as provided herein, for the following purposes:

1. Recording, processing, maintenance and updating of your MCLE record of attendance / compliance / exemption;
2. Other lawful, legitimate and authorized purposes of the MCLE Office upon compliance with reasonable guidelines
set by the MCLE Governing Board.

Sufficient security controls are implemented to protect your data, and any data herein collected, recorded, organized,
updated, used, consolidated or provided shall be protected and accessed only by authorized MCLE personnel.

02/03/2022
mm/dd/yyyy __________________________
__________________
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