Anda di halaman 1dari 2

Republic of the Philippines

National Capital Judicial Region

Regional Trial Court
Muntinlupa City

In the Matter of the Application for

Notarial Commission for and in the
City of Muntinlupa,



Petitioner ________________ respectfully states under oath


1. Petitioner is a Filipino, born on ______________, with

residential address at _____________.

2. Petitioner was admitted to the Philippine Bar on

_____________ with Roll of Attorneys No. _____________.

3. Petitioner is a member of Integrated Bar of the

Philippines - Laguna Chapter with IBP Membership No. 066166
issued on January 9, 2019.

Petitioner is currently employed at _____________

4. Petitioner is a member in good standing of the Philippine

Bar, and she is duly authorized to practice law under the laws of the
Republic of the Philippines.

5. Petitioner respectfully submits the following papers in

support of this petition:

9. Petitioner will pay the required fees upon the filing



Petitioner prays that the Honorable Court (a) appoint her as

notary public for and in the City of Muntinlupa for the term ending
December 31, 2020, (b) issue a certificate of authorization to

purchase a notarial seal, and (c) issue a certificate of authority for a
notarial act.

Petitioner prays for other equitable relief.

Muntinlupa City, January 18, 2019.

PTR No. MCF _____________
IBP No. _____________
Roll of Attorneys No._____________
MCLE Exempted
(MCLE Governing Board Order No. 1, S. 2008)


Republic of the Philippines )

City of Muntinlupa )S.S.

I, _____________, of legal age, Filipino, with office address

at _____________, hereby state under oath that I am the
petitioner in this application for notarial commission, and I prepared
this petition, the contents of which are true and correct based on my
personal knowledge and on authentic records at hand.


SUBSCRIBED AND SWORN to before me this 17th day of

January 2019 in the City of Muntinlupa by affiant, exhibiting to me
her _____________valid until _____________, who is known to
me to be the same person who executed and signed the foregoing

Doc. No. _____

Page No. _____
Book No. _____
Series of 2019.