Society for Judicial Excellence

Awards Form No. 1

2017 AWARDS FOR JUDICIAL EXCELLENCE Passport Size

Picture

Check appropriate box:

[ ] Regional Trial Court Judge

[ ]Metropolitan Trial Court Judge/Municipal Trial Court in
Cities Judge Municipal Trial Court Judge/Municipal Circuit
Trial Court Judge
[ ]Sharia Circuit Trial Court Judge
[ ]Clerk of Court (1st Level Courts)
[ ]Clerk of Court (2nd Level Courts)
[ ]Branch Clerk of Court (1st Level Courts)
[ ]Branch Clerk of Court (2nd Level Courts)

Nominator(s) [include Office Address(es) & Telephone Nos.]

NOMINEES PERSONAL DATA SHEET

(To be filled up by Nominee)
Nominees Name
____________________________________________________________________________________
(Surname) (First Name)
(Middle Name)

Present Station/Address
____________________________________________________________
____________________________________________________________________________________
Office Telephone No(s). _________ Fax No. _________E-mail
Address___________________
Home Address
__________________________________________________________
Home Telephone No(s). ______________Cellular Phone
No.__________________________
Date of Birth ______________ Age ____ Place of
Birth__________________________
Civil Status (single, married, separated, widowed) ____ Name of
Spouse__________________
Society for Judicial Excellence
Awards Form No. 1
Children (include Ages)
___________________________________________________
_______________________________________________________________________
Date of Appointment (as judge or clerk of court)
________________________________
_______________________________________________________________________
Normal, verifiable schedule of
hearings_______________________________________
____________________________________________________________________________________
Promotions in the judiciary (include
dates)_____________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
(Use additional sheets if necessary)

Have you ever been charged administratively, civilly or criminally? [ ]

Yes [ ] No If yes, please give
details.____________________________________________________
______________________________________________________________________
Do you have any pending criminal, civil or administrative case? [ ]
Yes [ ] No If yes, please give details.
_______________________________________________________________________
_______________________________________________________________________

EDUCATION

High School (include address)

_______________________________________________

_________________________________________________________ Year graduated

_____________

College (include address)

__________________________________________________

_________________________________________________________ Year graduated

_____________
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Awards Form No. 1
Law school (include
address)________________________________________________________

_________________________________________________________ Year graduated

_____________

Post-graduate studies
_____________________________________________________

_________________________________________________________ Year graduated

_____________

No. of times Bar Exams taken _______________ Year passed the

Bar__________________

Academics: Awards/distinctions/citations
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
OTHER SPECIAL TRAINING (INCLUDE MAJOR RELEVANT
SEMINARS ATTENDED WITH DATES OF ATTENDANCE)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
PROFESSIONAL AWARDS, DISTINCTIONS, PUBLICATIONS & OTHER
ACHIEVEMENTS
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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Awards Form No. 1
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
CURRENT ACTIVE MEMBERSHIP IN ORGANIZATIONS
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

DEADLINE for DEADLINE for

NOMINATIONS: 16 June 20172, 2008 REQUIREMENTS:
21 July 2017May 31, 2008
Send this nomination form together with the required materials
specified in Awards Form No.____ to:
SOCIETY FOR JUDICIAL EXCELLENCE
c/o The Permanent Secretariat

2nd Floor, Supreme Court Annex Building

Padre Faura Street, Manila
Telefax. No.: (02) 523-1301
Mobile No. 0925-8060319