REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

______________________
___________________

PEOPLE OF THE PHILIPPINES,

Plaintiff,

- versus - CR CASE NO___________________

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Accused.
X - - - - - - - - - - - - X

APPLICATION FOR RECOGNIZANCE

The undersigned accused, hereby applies for release on recognizance

pursuant to the provision of Section 7, of P.D. 968, as amended and declares:

1. That he has filed an application for probation;

2. That ______________________, is willing to accept the custody of

the undersigned accused and to guarantee his appearance whenever
required by the Court;

__________________________.

__________________
Accused

RECOGNIZANCE

The accused having filed an application for probation, the undersigned

accepts custody of the said accused and guarantees his appearance whenever
required by the Honorable Court.

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