Membership Form

Kindly fill carefully please ensure that all the information filled below by you is accurate before clicking on the Register button.
(Spelling errors and other mistakes will reflect on the Smart Identity Card, Enrollment Certificate and all Other Certificates directly)

Advocate Name:
Father's Name:
Mother Name
Date Of Birth
Gender
Marital Status
Nominee Name
Relation with Nominee
Enrollment Number
Enrollment Date
Permanent Residence
Residence Phone
Mobile No.
Phone Office

That I am enrolled as an advocate with the Bar council of
Vide Enrollment No.
on Date
That I am a member of the following Bar Association(s)

Verification by the Advocate at Distt. Bar Association, Panipat having experience of 10 years or above.
Photo Copies of Documents required on Submit
(a) Bar Council Certificate Copy.
(b) Bar Council I.D Card Copy.
(c) LL.B Final year mark sheet copy.
(d) Aadhar Card Copy.(All Documents self attested)

I hereby declare and confirm that the statements made by me above are true and correct upto my knowledge.
Note: It is mandatory that you should submit copy of all documents with this application form within 3 days (Working days) in the office of Distt. Bar Association, Panipat.

Part II

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PARTICULARS OF THE ADVOCATE FOR THE DIRECTORY

Email ID
Office Address