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PAO FORM No.

2010-2

REPUBLIKA NG PILIPINAS
TANGGAPAN NG MANANANGGOL PAMBAYAN
(PUBLIC ATTORNEY’S OFFICE)
DOJ Agencies Bldg., NIA Road corner East Avenue
1104 Diliman, Quezon City
Tel. Nos. 926-2878; 929-9010; 929-9436

DENIAL / DISQUALIFICATION OF PAO LEGAL ASSISTANCE

(Name & Address)

DATE:

Dear Sir / Madam:

We regret to inform you that your request for legal assistance from our office cannot be
granted at this time due to the following:

You failed to qualify as an indigent.


REASON:

Conflict of Interest.
REASON:

Acceptance of case on provisional basis only.


REASON:

Public Attorneys do not act as prosecutors in criminal cases in court.


REASON:

You have engaged the services of another counsel.


REASON:

Others:

Public Attorney

APPROVED: Received by:


District Public Attorney/OIC Printed Name and Signature
Date:

Cc:
(Name/Address of Indorser)

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