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004
CERTIFICATION
(Pursuant to A.M. No. 17-03-09-SC)
This is to certify that ATTY. NAME OF LAWYER with Roll of Attorneys No.
__________, a member of the IBP-__________ Chapter, has successfully completed
the required 120 hours of Community Legal Aid Service for the period Month & Year
STARTED to Month & Year COMPLETED under A.M. No. 17-03-09-SC otherwise
known as the “Rule on Community Legal Aid Service” per our records.
Atty. SURNAME OF LAWYER has actually rendered pro bono legal services for
a total of ACTUAL NUMBER OF HOURS IN WORDS (in figures) hours from DATE
STARTED to DATE COMPLETED consisting of representation of qualified
parties/litigants in trial courts, legal counseling and drafting of legal documents or
pleadings, to wit:
Preparation of a legal Title & Case Number Quasi-Judicial Agency Name/s Residential Address
document/pleading City/Province
(type of document) for
(Nature of Case)
Legal Counselling (not applicable) Place (IBP Office or Name Residential Address
(Re: NATURE OF Community)
LEGAL CONCERN)
Noted by:
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