LAWYER'S REGISTRATION CARD LAWYER'S REGISTRATION CARD
(Please write legibly) ROLL NO. IBP CHAPTER ROLL NO. IBP CHAPTER
(Please write legibly)
SURNAME FIRST MIDDLE SURNAME FIRST MIDDLE
NAME NAME NAME NAME
GENDER CIVIL STATUS AGE DATE OF PLACE OF BIRTH GENDER CIVIL STATUS AGE DATE OF PLACE OF BIRTH
YEAR ADMITTED TO BAR YEAR ADMITTED TO BAR
BIRTH BIRTH
RESIDENCE ADDRESS TEL. NO./MOBILE NO. RESIDENCE ADDRESS TEL. NO./MOBILE NO.
OFFICE ADDRESS TEL. NO./FAX NO. OFFICE ADDRESS TEL. NO./FAX NO.
OCCUPATION/EMPLOYMENT EMAIL ADDRESS: OCCUPATION/EMPLOYMENT EMAIL ADDRESS:
FIELD OF SPECIALIZATION FIELD OF SPECIALIZATION
LAW SCHOOL AND YEAR GRADUATED: LAW SCHOOL AND YEAR GRADUATED:
DATE SIGNATURE DATE SIGNATURE
I certify under penalty of perjury that the I certify under penalty of perjury that the
forgoing information are true and correct. forgoing information are true and correct.
PRINTED NAME AND SIGNATURE PRINTED NAME AND SIGNATURE
DATE DATE
IBP BUILDING, #15 JULIA VARGAS AVENUE, ORTIGAS CENTER, PASIG CITY IBP BUILDING, #15 JULIA VARGAS AVENUE, ORTIGAS CENTER, PASIG CITY
TEL. NO. 631-3014/631-3058 WEBSITE: WWW.IBP.PH TEL. NO. 631-3014/631-3058 WEBSITE: WWW.IBP.PH