Karnataka State Bar Council
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COVID - 19 Relief Fund Application for Women Advocates


Enrolled Before 01/01/2010


Last Date For Submission - 28/05/2020


 Sl.NO  Particulars  Remarks
 1  ROLL NUMBER
 2  NAME
   DATE OF ENROLLMENT
 3  DATE OF BIRTH
 4  FATHER’S / SPOUSE NAME
 5  ADDRESS
 6  PLACE OF PRACTICE
 7  DISTRICT
 8  TALUK
 9  MOBILE NO
 10  EMAIL ID
 11  Have you filed COP ?
 12 Are you an Income Tax Assessee ?
 13 Do you/ your spouse have any other source of Income ?
 14 Have you obtained any COVID -19 Financial Assistance from Government / Advocate's Association ?
 15 Do you / your spouse own a four Wheeler ?
 16  Bank Account Number
   IFSC Code
   Bank Name
   Branch Name

Note:Once you are considered for the COVID19 relief fund, you will be intimated through SMS /Website.

 I hereby declare that, the information submitted above is true and correct. If any information submitted by me found wrong / false, I have no objection to initiate action against me under Sec. 35 of the Advocates Act, 1961.