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BLANK - MCLE Form No. 03 - Attorneys MCLE Compliance Report

This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report submitted to the Supreme Court of the Philippines MCLE Office. It contains the attorney's personal information and a summary of MCLE credits earned from various legal activities and programs. These include categories of participation, dates, and credit units. The attorney affirms the accuracy of the information and must attach supporting certificates before submitting this report.

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olbes maricel
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1K views1 page

BLANK - MCLE Form No. 03 - Attorneys MCLE Compliance Report

This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report submitted to the Supreme Court of the Philippines MCLE Office. It contains the attorney's personal information and a summary of MCLE credits earned from various legal activities and programs. These include categories of participation, dates, and credit units. The attorney affirms the accuracy of the information and must attach supporting certificates before submitting this report.

Uploaded by

olbes maricel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MCLE Form 03

SUPREME COURT OF THE PHILIPPINES Date:


MANDATORY CONTINUING LEGAL EDUCATION OFFICE Action:
4th Floor, IBP Building
Doña Julia Vargas Avenue
Ortigas Center, Pasig City

ATTORNEY’S MCLE COMPLIANCE REPORT


1. Name: MARICEL NICOLAS OLBES

2. Mailing Address: Claro M. Recto St., Pob. Central, Barcelona, Sorsogon 4712

3. Bar Admission Roll No. 64104 e-mail address: [email protected]

4. Telephone 0921-563-5554/0917-891-4985 Telefax :

5. COMPLIANCE CREDIT SUMMARY:


(Please fill up form at the back)

Category of
Participation
Date (Attendee, Law
Title of MCLE Subject
: : Provider : of : Lecturer, : CU
Activity/Program Area
Actvity Professor/Bar
Reviewer,
Author/Editor)
: : : : :
: : : : :
: : : : :

6. CARRYOVER CREDITS (Per Rule 12, Sec.2, Bar Matter No. 850 and Sec. 12 (d) MCLE I.R.)
This refers only to excess credit units earned during the 60-day make-up period for those who failed
to complete the MCLE requirement for the preceding compliance period.

7. EXEMPTIONS/MODIFICATIONS and Period Covered: (with application fee of P1,000.00)


REASON FOR THE EXEMPTION:

8. Completion Plan: ____ I hereby request for additional time to complete the MCLE requirement
under the MCLE Rules and Regulations. Attached is my proposed plan for completing the
requirements. A non-compliance fee of P1,000.00 is enclosed herewith.

9. Required attachments to this Application:


a) Certificate of Attendance in an accredited MCLE activity/program;
b) Program Agenda of the Activity/Program or the announcement brochures that indicate the
program details and the qualification of the faculty, if available;
c) Certificate as Law Lecturer/Professor/Bar Reviewer/and published book, newsletter or
journal of the Author or Editor; and
d) Certificates/documents pertaining to exemption or modification of MCLE requirement.

10 . I hereby affirm that the above information is accurate and complete to the best of my knowledge.

______________________________________________ ________________________
Printed Name and Signature of Applicant Date

SUBSCRIBED AND SWORN TO before me this ____day of ______________, 20__, affiant exhibiting
to me his SSS / TIN / Passport / Driver’s License No. issued on
, at .

NOTARY PUBLIC

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