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    MCLE Form No. 03

    Uploaded by

    Daryl Jacob Bigay
    This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

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    MCLE Form No. 03

    Uploaded by

    Daryl Jacob Bigay
    167 views2 pages
    This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

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    This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    167 views2 pages

    MCLE Form No. 03

    Uploaded by

    Daryl Jacob Bigay
    This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    SUPREME COURT OF THE PHILIPPINES MCLE Form 03

    MANDATORY CONTINUING LEGAL EDUCATION COMMITTEE Date: _______


    4th Floor, IBP Building Action: _______
    Doña Julia Vargas Avenue
    Ortigas Center, Pasig City

    ATTORNEY’S MCLE COMPLIANCE REPORT

    1. Name __________________________________________________________________________

    2. Mailing Address __________________________________________________________________

    3. Bar Admission Roll No. _______________ e-mail address: ________________________________

    4. Telephone _________________________ Telefax ______________________________________

    5. COMPLIANCE CREDIT SUMMARY:


    (Please fill up form at the back)
    Title of MCLE Activity/Program: Subject Area Provider Date of Category of CU
    Activity Participation
    (Attendee, Law Lecturer/
    Professor/Bar Reviewer,
    Author/Editor)
    _____________________________: __________________ : ________________ : ________:________________:________
    _____________________________: __________________ : ________________ : ________:________________:________
    _____________________________: __________________ : ________________ : ________:________________:________

    6. CARRYOVER CREDITS(Per Rule 12, Sec.2, Bar Matter No. 850 and Sec. 12 (d) MCLE I.R.)
    ______________
    This refers only to excess credit units earned during the 60-day make-up period for those who failed to complete
    the MCLE requirement for the preceding compliance period.

    7. EXEMPTIONS/MODIFICATIONS and Period Covered: (with application fee of P1,000.00)


    REASON FOR THE EXEMPTION:
    __________________________________________________________________________________
    __________________________________________________________________________________

    8. Completion Plan: ____ I hereby request for additional time to complete the MCLE requirement under the
    MCLE Rules and Regulations. Attached is my proposed plan for completing the requirements. A non-
    compliance fee of P1,000.00 is enclosed herewith.

    9. . Required attachments to this Application:


    a) Certificate of Attendance in an accredited MCLE activity/program;
    b) Program Agenda of the Activity/Program or the announcement brochures that indicate the program
    details and the qualification of the faculty, if available;
    c) Certificate as Law Lecturer/Professor/Bar Reviewer/and published book, newsletter or journal of the
    Author or Editor; and
    d) Certificates/documents pertaining to exemption or modification of MCLE requirement.

    10 . I hereby affirm that the above information is accurate and complete to the best of my knowledge.

    SUBSCRIBED AND SWORN TO before me this ____day of ______________, 2004, affiant exhibiting to me his
    Community Tax Certificate No. ____________________issued on ___________________, at the ______________
    ______________________________ .

    NOTARY PUBLIC

    ______________________________________________ ________________________
    Printed Name and Signature of Applicant Date

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