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MCLE Form No. 03

This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

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Daryl Jacob Bigay
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551 views

MCLE Form No. 03

This document is an attorney's MCLE (Mandatory Continuing Legal Education) Compliance Report form from the Supreme Court of the Philippines. It requires attorneys to provide information such as their name, address, bar admission details, and a summary of their MCLE activities including the titles, subjects, providers and dates. Attorneys must also submit documentation like certificates of attendance and completion plans if needing additional time. By signing, attorneys affirm the accuracy and completeness of the reported information.

Uploaded by

Daryl Jacob Bigay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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SUPREME COURT OF THE PHILIPPINES MCLE Form 03

MANDATORY CONTINUING LEGAL EDUCATION COMMITTEE Date: _______


4th Floor, IBP Building Action: _______
Doña Julia Vargas Avenue
Ortigas Center, Pasig City

ATTORNEY’S MCLE COMPLIANCE REPORT

1. Name __________________________________________________________________________

2. Mailing Address __________________________________________________________________

3. Bar Admission Roll No. _______________ e-mail address: ________________________________

4. Telephone _________________________ Telefax ______________________________________

5. COMPLIANCE CREDIT SUMMARY:


(Please fill up form at the back)
Title of MCLE Activity/Program: Subject Area Provider Date of Category of CU
Activity Participation
(Attendee, Law Lecturer/
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.

SUBSCRIBED AND SWORN TO before me this ____day of ______________, 2004, affiant exhibiting to me his
Community Tax Certificate No. ____________________issued on ___________________, at the ______________
______________________________ .

NOTARY PUBLIC

______________________________________________ ________________________
Printed Name and Signature of Applicant Date

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