Form
Form
: 22127
To,
The Secretary
I, SHABINA ANJUM DAUGHTER OF MR. MOHAMMED ALI do hereby apply for enrolment as an advocate on the Roll
1. Address :
Permanent Corresponding
IMRAN HOTEL SABJI MANDI KOTA J IMRAN HOTEL SABJI MANDI KOTA J
KOTA KOTA
KOTA - 324002 KOTA - 324002
RAJASTHAN RAJASTHAN
2. Phone No. :
Mobile
+919571735064
3. Email :
[email protected]
4. Category :
OBC
5. Place of Practice :
KOTA | KOTA
6. Please State Whether the degree was taken by private or regular study from the institution recognised by The Bar
Council of India (enclose certificate of University or College stating percentage (%) of attendence at law classes and
recognised with The Bar Council of India). : Regular Study
7. The Duration and the Medium of the course of instructions in Law : 3 Years & HINDI Medium
10. Have you made any previous application for enrollment as an Advocate : No
11. Have you been in service previously : No
14. Had you been a Judicial Officer? State the area in which you exercised Judicial Powers
along with the last posting : No
16. Have you ever been convicted previously by any court in or outside India : No
17. I herewith enclose 13 original document and a set of attested photo copies.
19. Undertakings :
• I do hereby undertake that, after my admission as an advocate if I accept full or part time
service or am engaged in any trade, business or profession (unless exempted by the Bar
Council under its rules) I shall forthwith inform to The Bar Council of such employment or
engagement and shall cease to practice as an Advocate.
• I do hereby undertake that, I shall not accept any employment, which in the opinion of the Bar
Council, is derogatory to the status of an Advocate.
I further declare that the facts stated above are true and correct and that the documents filed are genuine.
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Signature of Applicant
Latest Passport Please give below your specimen Signature,
Size photograph both in English and Hindi
duly attested
with seal by ----------------------------------------------------
Notary Public or (in English)
Gazetted Officer
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(in Hindi)