Affix Passport size Photograph duly Attested Retelved of ©... Serial No. Application Form for Admission as-an Advocate Roll No, WB. /... 20 BAR COUNCIL OF WEST BENGAL Note : (i) All particulars should be stated specially. (ii) All documents in support should be produced In original. 1. Name in full (in Blook ketters) as it is entered in the LL.B. Diploma or certificate of call to the Bar etc. (a) Fathers/Husband's Name 2 ‘Address (in Block letters) ‘= (a) Pemmanent Address (©) Present Address 3. Telephone No. if any 4. (a) Are you a Citizen of India ? Please : say ‘Yes’ or ‘No’. (©) you are not Citizen of India, : say how do you claim for enrolment 5. Date of Birth & Sex 7. @ Whether the candidate was a graduate or HS. Pass belofe ‘admission to the Law Course ? The date on which the candidate passed, the examination and obtained the degree or the H.S. Pass Certificate and the nature of the degree (ie. Arts, Science ‘or Commerce) 8. Have you obtained a degree in Law as required under section 24 (1)(c) of the Act ? If so, give particulars with date. ‘Are you a Barister 7 If so, state the date of call and the name of the Inns of Court,10. 1 12, 2B 14 15, 16 (2) @ The College at which the Course Of instruction in law was taken ‘and'the University in which the degree in law was obtained. (i The academic term and the year in which he commenced the course of instruction in law. (ii) The duration of course of Instruction in aw. (i, The medium of instructions in the said course (The other academic qualifications, it any, equivalent to a degree as prescribed by the Bar Council of India under section 24(1\c)(ii) & (iv) of the Advocates Act, 1961 Do you apply under section 24(2) of |: the act ? If so, give particulars with date. Or Do you apply undersection 24(3)(a) of, the Act ? If so, give particulars with date. Or Do you apply under section 24(4) of the Act 7 If so, give particulars with date. Have you paid the enrolment fee Rs 600/- ordinarily in cash and Rs. 150/- by Bank Draft drawn in favour of Bar Council of India. Service Branch at Kolkata ? If $0, state the particulars. (in case of Scheduled Caste or ‘Scheduled Tribe fee payable Rs. 100/- in case and Rs. 25/- by Bank Draft drawn in favour of Bar Council of India, Service Branch at Kolkata). Did you make any prior application for your admission as an Advocate to any High Court or the Supreme Court or any Bar Council ? If s0, what happened to that application 7 (Give Particulars). State the name of the place where you intend to practise ordinarily Are you in fullipart-time service ? Or ‘engaged in any trade or business or profession ? (If so, particulars) Have you been convicted previously by any court in India or outside India (f'so, Give particulars) If there any pending Criminal Proceeding against you ? (If so, ive full particulars). Have you been adjudged as insolvent by any court ? (If so, give particulars). 1. 2 Office Receipt No. Cheque Pay-in-Slip Page No. .. Pay-in-Slip Page No.(3) do hereby declare that — (1) The above statements are true to my knowledge except as to the date of my birth which is stated on information ‘and belief which | believe to be true. | undertake to keep the Bar Council informed of my change of address, (2) Ihave completed the age of 21 years ; (3) undertake to abide by al rules of the Bar Council for the time being in force ; (4) shall uphold the Constitution and the Laws : and (8) | shall faithfully discharge every obligation cdst on me by the Act and the Rules. Date Signature of the applicant (in full) N.B. If any statement or fact stated in the application is found to be false at any time the name of the applicant shall be liable to be struck off from the roll under proviso to sub-section (1) of Section 26 of the Advocates Act, 1961. SE ENCLOSURES Original with attested Xerox Copies of (Block Letters) o) 3 4) »(4) CERTIFICATE eet of, (Full Name) erty that (Address & Profession, occupation or position) (Name & description of the applicant) been know to me personally for upwards of years last pass. | have had the following ‘opportunities of judging his/her character (that is to say) _ . | believe himvher to be a person of respectability and a fit and proper person to be admited as an Advocate on the Roll of Advocates of the Bar Council of West Bengal. Date Signature . ' (Enrolment No. a4 of 7 (Full Name) certify that (Address & Profession, occupation or position) (Name & description of the applicant) has = been know to me personally for upwards of . Years last pass. | have had the following ‘opportunities of judging his/her character (that is to say) | believe himmher to be a person of respectability and a fit and proper person to be admitted as an Advocate on the Roll of Advocates of the Bar Council of West Bengal. Date: Signature (Enrolment No. | declare that the facts stated above in his application are true and correct and that the documents filed are genuine. Date : Signature of the applicant NOTIFIED: ON ssssinnnstrinmte Secretary / Asstt. Secretary © Gazette published on NECESSARY PARTICULARS CHECKED UP, Dectaration submitted on ... 7 Secretary / Asstt. Secretary Sectional Officer (Enrolment)DECLARATION To Date: The Secretary / Assistant Secretary, Bar Council of West Bengal, iran Sankar Roy Road, Daughter / siding, phone no... to inform you that I have made an application to the Bar Council of West Bengal intending to get myself enrolled as an Advocate being File No. I do further declare that in case of any objection to my said application for enrolment as an Advocate is made by anybody and such objection if found valid by the Enrolment Committee / Council, my enrolment will be liable to be recalled / cancelled and I will abide by such decision which will be deemed as final binding upon me. ‘Yours faithfully, Signature in full Scanned with CamScanner