REPUBLIC OF THE PHILIPPINES

First Judicial Region

REGIONAL TRIAL COURT
Office of the Executive Judge
Baguio City

In Re: Application for Level 1 Application No. ______

Certification,

Shielah Mae B. Baguec,

Applicant.

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APPLICATION

I, Shielah Mae B. Baguec, of legal age and a resident of Artiaga Street,

Outlook Drive, Baguio City, state under oath that:

1. I am currently enrolled at the University of the Cordilleras at Governor

Pack Road, Baguio City;
2. I have satisfactorily and successfully completed all my first year courses;
3. I will enroll in the school’s clinical legal education program for the first
semester/summer term of academic year 2022-2023;
4. I am aware of and will abide by the limitations under Sections 4, and the
duties and obligations under Section 6 – 8 of Rule 138-A of the Rules of
Court;
5. I have paid the necessary fees under Section 21(1) of Rule 141 of the Rules
of Court for the issuance of the Level 1 Certification. Attached herein is a
copy of the official receipt as proof of payment;

WHEREFORE, it is respectfully prayed that this application be approved

and the Level 1 Certification be issued.

City of Baguio, 30th day of August 2022.

Shielah Mae B. Baguec

SUBSCRIBED AND SWORN to before me this ____ day of ______2022, in the
City of ____________, Philippines, by the above-named Applicant who is
identified by me through competent evidence of her identity. I further certify that
the foregoing document was signed in my presence and that I have personally
examined the Applicant and I am convinced that he/she understood his/her
statements as his/her free act and voluntary deed.

Doc. No.: _____;

Page No.: _____;
Book No.: _____;
Series of 2022.