(Revised February, 2015) For Bar Repeaters/Refreshers LAW SCHOOL GRADUATED FROM ____________

Republic of the Philippines SUPREME COURT

Manila

In the Matter of the PETITION TO TAKE THE 20_____ BAR EXAMINATIONS, B.E. No. ____________________-R O.R. No. ____________________ Amt. Pd.: P___________________ ________________________________________________ Surname Given Name Middle Name Petitioner. x- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x

P E T I T I O N COMES NOW the undersigned petitioner and to this Honorable Court respectfully states:

1. He/She is ____________(civil status), Filipino citizen, ____ years of age. All supporting papers and documents submitted when he/she first filed a similar petition in __________ (year) are now made an integral part hereof;

2. He/She is a person of good moral character, and attaches for this purpose three (3) testimonials, each executed by a member of the Philippine Bar, marked as Annexes __________;

3. He/She has not been charged with any act or omission punishable by law, rule or regulation before a prosecutor, judge, public officer or administrative body of any crime or offense involving moral turpitude; nor has he/she any pending case or charge;

[Note: Indicate any pending or dismissed civil, criminal or administrative case against you and attach pertinent documents: ________________________]

4. This is the __________ time that he/she is taking the Bar Examinations, having

previously taken the same in the following years:______________________________________ _____________________________________________________________________________;

5. The last time he/she took the Bar Examinations was in _________ (year) to which he/she was conditionally/unconditionally admitted;

[Note: If conditionally admitted, state the reason therefore and whether there has been compliance: ____________________________________________________________________________________________ ]

6. He/She attaches herewith three (3) copies of his/her latest un-retouched

photograph (1x1), marked as Annexes ___________; and 7. He/She is related by consanguinity or affinity within the fourth civil degree to a

member of the Supreme Court or official of the Office of the Bar Confidant. [Note; If related to any of the Justices or officials mentioned above, state name of said Justice or official

and his/her relationship:____________________________.] [Note; BM No. 2432 (In re: Application to take the 2011 Bar Examinations). The Court resolved to

discontinue the requirement of a Certificate of No Derogatory Record for Bar repeaters.]

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Thumbprint (Right Hand)

[The following paragraphs apply only to examinees who have taken the Bar Examinations three or more times:]

8. He/She enrolled in and passed the regular fourth year law review classes (refresher

course) at the _______________________________________________ , a recognized law school, during the school year ______________, and attaches for this purpose sworn certificates, each executed by his/her professors in the corresponding subjects, marked as Annexes ___________.

9. The professors who executed the above-mentioned certificates are bona-fide

professors of the said law school, and he/she attaches for this purpose the sworn certificate of its Dean/Registrar, marked as Annex ________; and

10. He/She is presently enrolled in, and is regularly attending, the Pre-Bar review

course at the _________________________________, also a recognized law school, and attaches for this purpose the sworn certificate of the Dean/Registrar of said school, marked as Annex _______________.

WHEREFORE, petitioner respectfully prays that he/she be allowed to take the 20___ Bar

Examinations. ___________________________, Philippines, ___________________, 20 ____. ___________________________________

Signature over Printed Name

___________________________________

Address & Mobile/Telephone No. while Preparing for and taking the Bar Examinations

___________________________________ Permanent Address

V E R I F I C A T I O N

Republic of the Philippines] ] S.S. I, _____________________________________, after being sworn in accordance with law, depose and state; that I am the Petitioner in the foregoing petition; that I prepared the petition; that the allegations contained therein are true of my own knowledge.

_________________________________________ Affiant

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SUBSCRIBED AND SWORN to before me this ________ day of ____________, 20___ at _________________________, affiant having exhibited his/her TIN; Passport; or any other government issued I.D. No. _______________________ issued at ______________________ on _________________. Notary Public Doc. No._____________ Page No. ____________ Book No. ____________ Series of _____________

IMPORTANT REMINDERS

1. Petition will not be accepted under any of the following instances:

(a) If any of the blank herein is not properly filled; [Note: Write N/A on lines which are not applicable.]

(b) If not accompanied by the required documents or papers, including proof of payment of the Bar Examinations and other fees;

(c) If it does not strictly conform with the above form; and (d) If filed beyond the deadline set by the Court.

2. A self-addressed and stamped letter envelope (long) must be attached to the petition

to be used in sending your Report of Rating in the Bar Examinations.

P15.00

Documentary Stamp