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IBP Certification Request Form

This document is a request form for the Integrated Bar of the Philippines (IBP) to issue certificates of good standing and no pending case. It requests the applicant's personal details like name, IBP chapter, roll number, lifetime member number, mailing address, and contact information. It also asks for the purpose of the certification and authorization for delivery by courier or pick-up. Payment details like I.D. number are also required to process the request.

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Aicel Joy
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1K views

IBP Certification Request Form

This document is a request form for the Integrated Bar of the Philippines (IBP) to issue certificates of good standing and no pending case. It requests the applicant's personal details like name, IBP chapter, roll number, lifetime member number, mailing address, and contact information. It also asks for the purpose of the certification and authorization for delivery by courier or pick-up. Payment details like I.D. number are also required to process the request.

Uploaded by

Aicel Joy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Integrated Bar of the Philippines

Request for Issuance of Certificate of Good Standing


and Certificate of No Pending Case_v062020

IBP CERTIFICATION REQUEST FORM (Please write in capital letters)


IBP CHAPTER ROLL NUMBER LIFETIME MEMBER NUMBER

SURNAME FIRST NAME MIDDLE NAME

MAILING ADDRESS: EMAIL ADDRESS MOBILE NUMBER (enter 10-


digit number) e.g. 9151234567

PURPOSE OF CERTIFICATION:

AUTHORIZATION FOR AUTHORIZATION FOR PICK-UP: PAYMENT DETAILS


DELIVERY BY COURIER:
I.D. OR. NO.
I hereby authorize the Commission on I hereby authorize the Commission on Bar
Bar Discipline and the IBP Accounting Discipline and the IBP National
Office to deliver the requested Accounting Office to release copy/ies of
Certification to my mailing address the requested Certification to:
indicated above via LBC or any other
courier. ________________________________________
(Name of Authorized Representative)
(please attach in the email the scanned copy
of ID of Authorized Representative upon
submission of this form)

DATE:

Signature over printed name Signature over printed name


Date: Date: ASSESSED BY:

Reset Form Save

IBP Building, No.15 Doña Julia Vargas Avenue, Ortigas Center, Pasig City, Philippines 1600
+63 (02) 631-3018 | +63 (02) 634-4696 | [email protected]

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