PROFORMA OF APPLICATION FORM FOR MEMBERSHIP IN TO BAR ASSOCIATION

(FORM – A)
APPLICATION FOR MEMBERSHIP OF THE BAR ASSOCIATION
Details of payment of Registration Fee; Rs 250/- + Rs 25/-Total Rs 275/-

Photograph

SL.NO. PARTICULARS DETAILS
1 Name of Applicant with Surname
2 Date of Birth
3 Father’s name
4 Address



5 Enrollment Number & Date
6 i)Proposed place of voting
ii)Proposed place of practice
7 Whether the applicant has been a member of any other Bar Association if so give details
8 Particulars Regarding any No objection Certificate/No Dues Certificate obtained from another Bar Association
9 Particulars of any Criminal Case pending against the applicant

I, , Advocate, the applicant do hereby declare that the particulars mentioned above are true and correct to my personal knowledge and I am also declare that I have gone through the Rules of the Bar Association and I undertake to abide by them
Place; Nagarkurnool
Date: Applicant’s Signature
Enclosures; (1) Copy of Enrollment Certificate ( )