Karnataka State Bar Council
Ksbc Logo logo court Indian Flag

APPLICATION FOR FINANCIAL ASSISTANCE TO MEN ADVOCATES


Enrolled Before 01/01/2010



 Sl.NO  Particulars  Remarks
 1  ENROLMENT 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 ARE YOU GETTING ANY PENSION ?
 15 HAVE YOU OBTAINED ANY COVID-19 FINANCIAL ASSISTANCE FROM GOVERNMENT / ADVOCATES ASSOCIATION ?
 16 DO YOU/YOUR SPOUSE OWN A FOUR WHEELER ?
 17  BANK ACCOUNT NUMBER
   IFSC CODE
   NAME (As per Bank Account)
   BANK NAME
   BRANCH NAME

 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.