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Date____________
PHOTO
NAME _____________________________________________________________________________________
(Surname)
(First Name)
(Middle Name)
ADDRESS __________________________________________________________________________________
____________________________________________________________________________________________
SEX ___________ TEL. NO. _____________________ CEL NO. _______________________________________
BIRTHDATE ________________ EMAIL ADDRESS (IMPORTANT) __________________________________
LAW SCHOOL & YEAR GRADUATED _________________________________________________________
IMPORTANT: HAVE YOU PREVIOUSLY TAKEN THE BAR THREE TIMES OR MORE?
ENCIRCLE ANSWER:
YES /
NO
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and face-to-face coaching under Jurists Classic or the (2) online mock bar and coaching under Jurists Online. A
reviewee cannot avail of both simultaneously with reference to a particular mock-bar exam. The reviewee should give
3-day notice to Jurists of what kind of mock bar & coaching he or she intends to avail of for record and administrative
purposes. A combo reviewee may attend the pre-bar review and pre-week review (on-site or online). Refer to the
Jurists Combo Schedule for additional details.
You may enroll by depositing your payment to the account of Jurists Review Center Inc., BPI Account No.
8301-0026-97 or RCBC Account No. 7-589-94300-1 and faxing a clear copy of the deposit slip and the
filled-in application form to (63-2) 846-39-37 or emailing it to juristsbar@juristsbar.com.ph, with your
name written on the face of your deposit slip. Call or text us at 0917-550-3591 (for Globe) or 0998-5734518 (for Smart) for confirmation. PARTIAL OR INCOMPLETE PAYMENT OR MERE SUBMISSION
OF APPLICATION FORM WITHOUT ANY PAYMENT WILL BE DEEMED VOID AND WILL NOT
CONFER ANY RIGHT TO APPLICANT. NO REFUND ALLOWED.
I fully understand that Jurists hand-outs and review materials, whether in paper or electronic form, are
strictly and exclusively for the use of Jurists reviewees, and that Jurists Online videos and materials are
strictly and exclusively for the use and viewing of Jurists Online and Jurists Combo reviewees. I
undertake not to disseminate or to furnish to any person or entity the Jurists videos, hand-outs, and
review materials and I fully understand that the violation of the undertakings or understandings herein
shall be subject to civil, criminal, and administrative sanctions and penalties and a ground for the
termination of my rights and privileges as a Jurists reviewee for the 2016 bar review season.
I agree to abide by the foregoing terms and such other reasonable rules and regulations as may be issued by
Jurists Bar Review Center in case my application is accepted. I understand that availment of Jurists Bar
Review Centers review facilities and services is conditioned on my faithful compliance with the foregoing
terms and the rules and regulations that may be issued by Jurists Bar Review Center. I understand that it is
my obligation to present my I.D. card so that I may enter and avail of the Jurists Bar Review Center
facilities and services.
___________________________________
(Signature over printed name)
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