JBC FORM No.

1
Revised: December2018

2x2 I.D. Picture

(taken within the last
six [6] months)
PERSONAL DATA SHEET
PLEASE FILL OUT THIS FORM BY ENCODING THROUGH A COMPUTER THE REQUIRED
INFORMATION. DO NOT LEAVE ANY ITEM UNANSWERED. IF NOT APPLICABLE, WRITE “NA.”
PERSONAL BACKGROUND
1. Roll of Attorneys’ 2. NAME
Number

First Name Middle Name Surname

2a. Full Maiden Name, if married 3. SEX 4. CIVIL STATUS
 Male  Single Widowed  Annulled /
 Female  Married Separated Nullified Marriage
5. TAXPAYER’S IDENTIFICATION NUMBER (TIN) 6. CITIZENSHIP
Natural-born  Naturalized
7. AGE 8. DATE AND PLACE OF BIRTH 9. HEIGHT (meters) 10. WEIGHT (kilos)

11. ADDRESSES (including ZIP Code, if applicable) 12. TELEPHONE NUMBERS

a. Residence: a. Residence:

b. Office: b. Office:

c. E-mail: c. Cellular:
d. Provincial Address: d. Fax:

13. NAME OF FATHER 13a. PLACE OF BIRTH 14. MOTHER’S MAIDEN NAME 14a. PLACE OF BIRTH

15. NAME OF SPOUSE 15a. POSITION/OCCUPATION OF SPOUSE 15b. AGENCY/OFFICE

16. CHILDREN (including stepchildren)

NAME AGE OCCUPATION AGENCY/OFFICE/SCHOOL
(if a student)

EDUCATION
17. Degree/Units Honors/Awards/
Level School/College/University Inclusive Period
Earned Distinctions

Post Graduate

Law

College

Vocational

Secondary

Elementary

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 ELIGIBILITY
18. CIVIL SERVICE Rating
No. of Year IBP Chapter
ELIGIBILITY/ Date of (including
Times Examination
Place of Examination Admitted (& Number, if
BOARD/BAR failed rating if
Taken applicable) to the Bar applicable)
EXAMINATION TAKEN

19. PREJUDICATURE PROGRAM Inclusive Dates of Attendance Rating

RELEVANT TRAININGS
20. SEMINARS, TRAININGS, SCHOLARSHIPS, AND FELLOWSHIP GRANTS (start from most recent seminar)
Inclusive
Course Title Place Conducted by
Period

(continue on separate sheet if necessary)

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 PROFESSIONAL EXPERIENCE
21. SERVICE RECORD IN GOVERNMENT, PRIVATE SECTOR, PRACTICE OF PROFESSION, NON-GOVERNMENT
ORGANIZATIONS, AND INTERNATIONAL ORGANIZATIONS (start from current work in inverse chronological order)
Inclusive Period Salary Nature of
From No. Grade & Department/Agency/L Work
Supervisor
Position (from date of Judicial aw Firm/Company (e.g. judicial, legal,
(include current
of oath of
To (include current address & address & phone
(mm/dd/yy) Years Rank, if phone no.)
administrative, no.)
office) corporate)
(mm/dd/yy) any

(continue on separate sheet if necessary)

22. BRIEF JOB DESCRIPTION OF EACH OF THE POSITIONS HELD

(continue on separate sheet if necessary)

23. PRACTICE OF LAW (including the holding of an office which requires admission to the bar as a prerequisite)
a. Number of Years of b. Nature of Current c. Latest MCLE Compliance or Exemption Certificate No. with
Practice of Law: Practice: Compliance Period:

24. LITIGATION EXPERIENCE

a. Number of Years of Civil Litigation Experience: b. Number of Years of Criminal Practice Experience:

c. Number and Nature of Cases Handled in the Past 5 d. Number of Cases Handled in the Appellate Courts in
Years: the Past 5 Years:

e. Significant Cases Handled in the Past 5 Years:

Court Date Date Names, Current Addresses & Tel.
Case Title/Docket No. Type of Case (indicate if
special court) Filed Decided Nos. of Counsel for the other Parties

(continue on separate sheet if necessary)

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25. JUDICIAL EXPERIENCE (separately indicate caseload performance in acting, assisting, or pairing capacities, if applicable)
a. Current Caseload: (with cut-off date) b. Average Monthly Output:
as of:

c. Number and Percentage of Cases Disposed of in the d. Number of Decisions Appealed or Pending Appeal:
Past 5 Years:

e. Cases Undecided or Unresolved within the Reglementary Period:

Have you failed to decide cases or resolve motions within the reglementary period?
 
No 
Yes If YES, give particulars.
Date Submitted Dates Extension of
Case Title Docket No. Type of Case Date Filed for Decision or Time was Requested &
Resolution Granted

26. EXPERIENCE IN OTHER GOVERNMENT AGENCIES (e.g., Office of the Solicitor General, Office of the Ombudsman,
National Prosecution Service, Public Attorney’s Office)
a. Number of complaints/cases handled which are pending as b. Number of complaints/cases submitted for resolution as of
of the date of application: the date of application:

c. Number of resolutions affirmed by superiors for the past d. Number of resolutions reversed by superiors for the past
five (5) years: five (5) years:

27. TEACHING EXPERIENCE

Indicate whether the
Inclusive subjects are taught in
Period Nature of Law Subjects Undergraduate,
School
(mm/dd/yy to Appointment Taught Law School, or
mm/dd/yy) Master of Laws
level

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28. OTHER CREDENTIALS (Include awards received; expertise in field/fields of law pertinent to the specific field of the
special court being applied for; special skills; law books or other legal articles written, edited, or published with citations,
dates and general description of the subject matter; lectures, seminars, or trainings given; and membership in professional,
civic, or other organizations or committees)

RECORD OF CASES FILED AGAINST YOU

29. COMPLAINTS FILED AGAINST YOU (any complaint whether civil, criminal, administrative, or special proceeding of
whatever nature and kind whether in the investigation stage [such as OCA-IPI, I.S., NPS, or OMB], pending, or decided)
Has a complaint ever been filed against you for violation of any law, rules, decree, ordinance, administrative issuance, or
regulation before any court; prosecution office; tribunal; or any other government office, agency, or instrumentality; or
private entity in the Philippines or in any foreign country?

 
No 
Yes If YES, give particulars and attach documents showing the nature and current status of the case:
Status
Nature of the
Type of (e.g., under
Complaint or
Complaint investigation,
Alleged Office/Agency/
Complainant’s (e.g., civil, pending, or
Case Title/Docket Date Filed Violation Court
Name, Address & criminal, decided; if
No. (mm/dd/yy) (e.g., Estafa, (where complaint
Tel. No. administrative, decided, the
Disbarment, was filed)
or special date of
or Contempt
proceedings) decision/
of Court)
resolution)

(continue on separate sheet if necessary)

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 OTHER MATTERS
30. TERMINATION OF EMPLOYMENT
Have you been retired, dismissed, or forced to resign from employment? 
Yes 
No If yes, state particulars:

31. CANDIDACY FOR ELECTIVE OFFICE

Have you been a candidate for any elective office in any election?
Yes
No If yes, when and for what position?

32. RELATIVES in Government Service (within the fourth degree of consanguinity or affinity, including “Bilas,” “Balae,” and “Inso”)
Name Position Place of Assignment Nature of Employment Relationship

33. REFERENCES (Persons not related to you by consanguinity or affinity who have knowledge of your personal or professional
background)
Name Address Tel. No.

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 AGREEMENT
I declare that the answers given above are true, correct, and complete based on my personal knowledge and authentic records.
I bind myself to inform the Judicial and Bar Council (JBC) of any development that may affect any of the information contained
herein.
Likewise, I fully consent and authorize the JBC and any of its duly authorized representatives to verify the truth and veracity
of all the information provided herein.
In this regard, I authorize any government agency and instrumentality, law enforcement agencies, private entities and
individuals, or any of their duly authorized representatives to release any document, record, or information, financial or otherwise,
they may possess in relation to my application as requested by the JBC.
My co-depositor/s and I consent and signify our waiver in favor of the JBC of our right of confidentiality under the Credit
Information System Act, Insurance Code, and bank secrecy laws, including but not limited to Republic Act No. 1405 or the Law on
Secrecy of Bank Deposits, Republic Act No. 6426 or the Foreign Currency Deposit Act, and Republic Act No. 8791 or the General
Banking Law of 2000, as amended in each case, of our local or foreign currency bank deposits and any other investments of whatever
nature, whether in my name or held jointly with my spouse, children below 18 years old, and other persons or entities, to wit:
Amount of
Name of Bank/Financial Institution Address of Bank/Financial Institution Deposits/Insurances/Investments as of
the Application Period

(continue on separate sheet if necessary)

This waiver of our right of confidentiality of our bank deposits, insurance policies, or investments and other financial records
is executed on the condition that the JBC or its duly authorized representatives shall make use of it, as well as any and all information
or data obtained by virtue thereof, for the exclusive and sole purpose of evaluating my qualifications for the position/s I am applying
for.
I agree that the information contained in this Personal Data Sheet and public documents submitted by me or gathered by the
JBC, except the abovementioned bank deposits or investments and personal information, such as those under numbers 11 to 16 and
the addresses and telephone numbers of other persons, shall be open to the public.
I am SOLELY RESPONSIBLE for any incomplete or out-of-date document/s or information. Therefore, receipt of my
application documents does not certify that my submission is complete and in compliance with all the JBC requirements. I understand
that the JBC is under no obligation to notify me of any incomplete or out-of-date requirement/s.
I agree that the documents I submitted are considered JBC property.
If my name is not included in the published list of applicants, I understand that my documentary requirements were found to
be incomplete or out-of-date after careful evaluation thereof; or that I have not fully met the required qualifications set forth under the
JBC rules.
In the event that I decide to withdraw my application, I shall immediately notify the JBC in writing.
With my conformity as to the waiver of the
confidentiality of our joint accounts/ investments
and other financial records:

________________________________________ ________________________________________
Signature of Applicant over printed name Signature of Co-Depositor over printed name
Government-issued ID:____________________ Government-issued ID: ______________________
Expiry Date:_____________________________ Expiry Date: ___________________________

JURAT
SUBSCRIBED AND SWORN to before me in the City / Municipality of ________________________________,
this _____ day of ________________________ 20_____, affiant/s exhibiting to me the above-stated government-issued
identification card/s.

__________________________
Notary Public
Doc. No. _______;
Page No. _______;
Book No. _______;
Series of 20 _____.

PDS-Form-December 2018
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