Application For Probation Sample

 

Republic of the Philippines  ____________ Judicial Judicial Region REGIONAL TRIAL COURT OF __________  ____________________  ______________ ______ CITY Branch ___  _____________________  ______________ _______ City

PEOPLE OF THE PHILIPPINES, Plaintiff,

Crim. Case No. _________

- versus -

for

JUAN DELA CRUZ, Accused. X------------------------------------------------X

APPLICATION

FOR

__________ ____________________ __________

PROBATION

The undersigned accused, JUAN DELA CRUZ, files this application for probation under the provisions of PD 968 as amended, hereby declares: 1. That Petitioner is _______ years of age, single/married/widow/widower and a resident of ______________ ____________________________ ____________________________ ____________________________; ______________; 2. That Petitioner has been convicted of __________________________________ and sentenced to serve a term of imprisonment of not more than six (6) years or to  pay a fine of not more than One Thousand Pesos (Ᵽ1,000.00) with subsidiary subsidiary   imprisonment imprisonm ent in case of insolvency; 3. That Petitioner has not begun to serve the term of imprisonment imposed nor paid the fine imposed; 4. That the crime of which Petitioner has been convicted is not an offense against the national security;

 

5. That Petitioner has not previously been convicted by final judgment of any offense  punished by imprisonment of not m more ore than six (6) months aand nd one (1) day or a fine of not more than one thousand pesos (Ᵽ1000.00); and and   6. That Petitioner has not been once on probation under the provisions of PD 968 as amended.

 _____________ City, City, ______________. ______________.

JUAN DELA CRUZ Print Name and Signature of Applicant