REPUBLIC OF THE PHILIPPINES

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THE PEOPLE
OF THE PHILIPPINES,
Plaintiff, CRIM. CASE NO.
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- versus –
For: R.A. No. 9287
_______________,
Accused.
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APPLICATION FOR COMMUNITY SERVICE

The accused, by counsel, respectfully applies for the imposition of

community service in lieu of service in jail, pursuant to the provisions of
Republic Act No. 11362 (R.A. 11362) and A.M. No. 20-06-14-SC
(Guidelines in the Imposition of Community Service as Penalty).

In support of this application, accused states, THAT:

1. Accused-applicant is of legal age and residing at _______________;

2. On _______________, accused was convicted of Sec. 3(a) of Republic Act

No. 9287 by this Honorable Court and sentenced to suffer the straight
penalty of six months of arresto mayor;

3. Accused-applicant submits that she has not previously availed of the

benefits of R.A. No. 11362 and no appeal has been perfected as of the
filing of this application;

4. Accused-applicant is physically able and willing to comply with the

terms of the community service program that this court may deem fit for
her;

5. The grant of her application will not depreciate the gravity of the
crime/offense charged nor cause any undue risk that during the period of
community service, accused-applicant will commit another crime.

WHEREFORE, it is respectfully prayed of this Honorable Court that

this Application for Community Service be granted/approved.

RESPECTFULLY SUBMITTED.
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