Ersonal ATA Heet: JBC Form No. 1 2x2 I.D. Picture (Taken Within The Last Six (6) Months)

JBC FORM No.
1
Revised: August 2016
2x2 I.D. Picture

(taken within the last
six [6] months)
PERSONAL DATA SHEET
PLEASE FILL OUT THIS FORM BY ENCODING THROUGH A COMPUTER THE REQUIRED
INFORMATION. DO NOT LEAVE ANY ITEM UNANSWERED. IF NOT APPLICABLE, WRITE NA.
PERSONAL BACKGROUND
1. Roll of Attorneys Number 2. NAME
First Name Middle Name Surname

2a. Full Maiden Name, if married 3. SEX 4. CIVIL STATUS
Male Single Widowed With annulled /
Female Married Separated nullified marriage
5. TAXPAYERS IDENTIFICATION NUMBER (TIN) 6. CITIZENSHIP
Natural-born Naturalized
7. AGE 8. DATE AND PLACE OF BIRTH 9. HEIGHT (meters) 10. WEIGHT (kilos)
11. ADDRESSES (including ZIP Code, if applicable) 12. TELEPHONE NUMBERS

a. Residence: a. Residence:
b. Office: b. Office:
c. E-mail: c. Cellular:
d. Provincial Address: d. Fax:
13. NAME OF FATHER 13a. PLACE OF BIRTH 14. MOTHERS MAIDEN NAME 14a. PLACE OF BIRTH
15. NAME OF SPOUSE 15a. POSITION/OCCUPATION OF SPOUSE 15b. AGENCY/OFFICE
16. CHILDREN (including stepchildren)

NAME AGE OCCUPATION AGENCY/OFFICE
EDUCATION
17. Degree/Units Honors/Awards/
Level School/College/University Inclusive Period
Earned Distinctions
Post Graduate
Law
College
Vocational
Secondary
Elementary
ELIGIBILITY
Page 1 of 3
18. CIVIL SERVICE Rating
No. of Year IBP Chapter
ELIGIBILITY/ Date of (including
Times Place of Examination Admitted (& Number, if
BOARD/BAR Examination failed rating if
Taken applicable) to the Bar applicable)
EXAMINATION TAKEN
19. PREJUDICATURE PROGRAM Inclusive Dates of Attendance Rating
RELEVANT TRAININGS
20. SEMINARS, TRAININGS, SCHOLARSHIPS, AND FELLOWSHIP GRANTS (start from most recent seminar)
Inclusive
Course Title Place Conducted by
Period
(continue on separate sheet if necessary)

PROFESSIONAL EXPERIENCE
21. SERVICE RECORD IN GOVERNMENT, PRIVATE SECTOR, PRACTICE OF PROFESSION, NON-GOVERNMENT
ORGANIZATIONS, AND INTERNATIONAL ORGANIZATIONS (start from current work in inverse chronological order)
Inclusive Period Nature of
From No. Department/Agency/ Supervisor
Salary Law Firm/Company Work (include current
Position (from date
To of (e.g. judicial, legal,
of oath of Grade (include current address & address & phone
(mm/dd/yy) Years phone no.)
administrative, no.)
office) corporate)
(mm/dd/yy)
22. BRIEF JOB DESCRIPTION OF EACH OF THE POSITIONS HELD
(continue on separate sheet if necessary)
23. PRACTICE OF LAW (including the holding of an office which requires admission to the bar as a prerequisite)
Page 2 of 3
a. Number of Years of b. Nature of Current c. Latest MCLE Compliance or Exemption Certificate No. with
Practice of Law: Practice: Compliance Period:
24. LITIGATION EXPERIENCE

a. Number of Years of Civil Litigation Experience: b. Number of Years of Criminal Practice Experience:
c. Number and Nature of Cases Handled in the Past 5 d. Number of Cases Handled in the Appellate Courts in
Years: the Past 5 Years:
e. Significant Cases Handled in the Past 5 Years:

Court Date Date Names, Current Addresses & Tel.
Case Title/Docket No. Type of Case (indicate if
special court) Filed Decided Nos. of Counsel for the other Parties
25. JUDICIAL EXPERIENCE (separately indicate caseload performance in acting, assisting, or pairing capacities, if applicable)
a. Current Caseload: (with cut-off date) b. Average Monthly Output:
as of:
c. Number and Percentage of Cases Disposed of in the d. Number of Decisions Appealed or Pending Appeal:
Past 5 Years:
e. Cases Undecided or Unresolved within the Reglementary Period:

Have you failed to decide cases or resolve motions within the reglementary period?
No Yes If YES, give particulars.
Date Submitted Dates Extension of
Case Title Docket No. Type of Case Date Filed for Decision or Time was Requested &
Resolution Granted
26. EXPERIENCE IN OTHER GOVERNMENT AGENCIES (e.g., Office of the Solicitor General, Office of the Ombudsman,
National Prosecution Service, Public Attorneys Office)
a. Number of complaints/cases handled which are pending as b.Number of complaints/cases submitted for resolution as of
of the date of application: the date of application:
c. Number of resolutions affirmed by superiors for the past d.Number of resolutions reversed by superiors for the past
five (5) years: five (5) years:
(continue on separate sheet if necessar
Page 3 of 3

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JBC FORM No.

2x2 I.D. Picture

First Name Middle Name Surname

11. ADDRESSES (including ZIP Code, if applicable) 12. TELEPHONE NUMBERS

d. Provincial Address: d. Fax:

15. NAME OF SPOUSE 15a. POSITION/OCCUPATION OF SPOUSE 15b. AGENCY/OFFICE

16. CHILDREN (including stepchildren)

19. PREJUDICATURE PROGRAM Inclusive Dates of Attendance Rating

(continue on separate sheet if necessary)

22. BRIEF JOB DESCRIPTION OF EACH OF THE POSITIONS HELD

(continue on separate sheet if necessary)

24. LITIGATION EXPERIENCE

e. Significant Cases Handled in the Past 5 Years:

e. Cases Undecided or Unresolved within the Reglementary Period:

(continue on separate sheet if necessar

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