PETITION
COMES NOW, the Petitioner and unto this Honorable Court, most respectfully states
that:
1. Petitioner is of legal age, having been born on March 9, 1988, married, Filipino citizen
and presently residing at Brgy. Mantahan, Maasin City, Southern Leyte;
2. Petitioner has been admitted to the practice of law in the Philippines as shown by the
Certificate of Membership in the Philippine Bar, which contains the Petitioners Roll of
Attorney No. 65389. A copy of the Certificate of Membership in the Philippine Bar is
attached and marked as Annex A hereof;
3. Petitioner is likewise a bona fide member in good standing of the Integrated Bar of the
Philippines as shown by his Certificate of Good Moral Character. A photocopy of his IBP
Receipt showing his IBP No. 1036160 is attached and marked as Annex B hereof. Also
attached and mark herewith as Annex C is the Certificate of petitioners good moral
character issued by Atty. Renato Ramon B. Rances, III and Atty. Aemilda B. Madredijo,
President and Secretary, respectively, of the IBP Southern Leyte Chapter;
4. Petitioner has also paid the Professional Tax Receipt due him as evidenced by PTR No.
0286272, dated 06/23/2016, a photocopy of which is also attached herewith as Annex
D;
5. Petitioner has all the qualifications and none of the disqualifications for the Office of the
Notary Public;
6.
Petitioner has never been charged nor convicted of any crime involving moral turpitude;
9. Petitioner has likewise attached thereto his three (3) passport size photographs each
bearing his signature on the bottom part thereof as Annex F hereof.
PRAYER
WHEREFORE, Petitioner respectfully prays of this Honorable Court that his petition
for Notarial Commission be granted.
Respectfully submitted.
VERIFICATION
I, DAEL CHURCHILL T. GERONG, Filipino, of legal age, married and a resident of
Brgy. Mantahan, Maasin City, Southern Leyte, after having duly sworn to in accordance with
law, do hereby depose and say that:
1. I am the petitioner in the above-entitled Petition;
2. I have caused the preparation of the foregoing Petition; and
3. I certify that I have read and understood the contents thereof and verify that the facts
stated therein are true and correct based on my personal knowledge and authentic
records.
IN WITNSESS WHEREOF, I have hereunto affixed my signature this ______ day of
______, 2016, at ______________.
__________________________
Notary Public
ANNEX A
CERTIFICATE OF MEMBERSHIP IN THE PHILIPPINE BAR (PHOTOCOPY)
ANNEX B
CERTIFICATE OF GOOD STANDING FROM OBC
ANNEX C
PHOTOCOPY OF IBP RECEIPT
ANNEX D
CERTIFICATE OF GOOD MORAL CHARACTER
FROM IBP _________ CHAPTER
CERTIFICATION
THIS IS TO CERTIFY that ATTY. _______ of _________ is a Member of the Integrated
Bar of the Philippines per her IBP No. ______ and is a bona fide member of the Integrated Bar
of the Philippines, ______Chapter, Philippines.
This certification is issued upon the request of ___________ for all legal intents and
purposes.
___________, Philippines, ___________.
ATTY._______________________
Chapter Secretary
ATTY._______________________
Chapter President
ANNEX E
PHOTOCOPY OF PTR RECEIPT
ANNEX F
1. __________________________________
2. __________________________________
ANNEX G
PHOTOGRAPH WITH SIGNATURE
ANNEX H
APPOINTMENT
BE IT KNOWN THAT:
ATTY. ________ is a resident of ________ss City, Philippines, is appointed by
me as NOTARY PUBLIC for and within the Province of ________, Philippines, for a term
starting from the ____________________ day of __________ to _____________of
____________ Anno Domini, Two Thousand Thirteen (2013).
GIVEN UNDER MY HAND and caused the Seal of this Court to be affixed
thereon, this____ day of ___, Anno Domini, Two Thousand Thirteen (2013) at the City of
_______, Philippines.
Executive Judge
ANNEX I
TRUE IMPRESSION OF THE NOTARIAL DRY SEAL OF ATTY.