Karnataka State Bar Council

Submitted Online Application Form For COP

ROLL NUMBER

1.Name of the Candidate in Full

2.Father’s Name

3.Date of Birth

4.Date of Enrollment

5.Age actually completed in years & months

6.Gender

7.Caste

9.Permanent Address

10.State

11.Communication Address

12.Whether 3 or 5 years Course :

13.SSLC Board

14.PUC Board

15.Degree Board

16.Details of Law Degree

a.Name of the University

b.Name of the College

c.Year of Completion of LL.B

d.L.L.B Registration No

17.When did you pass your AIBE?

a.AIBE NO

18.If you have not passed the AIBE within two years of your enrollment, whether you have left practice and informed your Bar Association and State Bar Council (give details)

19.Name of the Bar Association of which applicant is a member

a.Place(Select the Taluk name)

20.Present Place of Practice

21.Whether engaged in any other Profession after Enrollment?

a.Give Full Details

22.Whether the applicant, after enrolment, has joined any business, as a full partner/ sleeping partner, if so, full particulars be supplied, with an attested copy of business instrument like Partnership deed, MOU, Agreements etc.

a.Give particulars and the result of such application

23.Whether the applicant, after the enrollment has incurred any disqualification as mentioned in 24-A of the act, if so certified copy of judgement/ order be attached

a.Give full details on which ground you have been suspended/ dismissed / terminated from service.

24.Whether applicant, at present, is facing any disciplinary proceedings before KSBC/convicted in any Criminal case or not, if so, give particulars?

a.Give details of Conviction.

25.Place where the Advocate intends to cast his vote

a.In Karnataka State Bar Council Elections

b.In Bar Association Elections

26.a.Blood Group

b.Mobile No

c.Other Contact Number

d.E-mail ID

27.Any other information, applicant wants to submit about his distinctions :

28.If the Advocate is not a member of any Bar Associations (registered and recognized by the concerned State Bar Council), the reason for not being a Member of Bar Association :

29.Whether the Advocate intends to become the Member of Bar Association in future :

30. SSLC Certificate

31. PUC/12th Standard Certificate

32. Degree Certificate(JOC/Diploma/B.Sc/B.Com/B.A)

33. Degree Marks Cards(JOC/Diploma/B.Sc/B.Com/B.A)

34. L.L.B. Degree Certificate

35. L.L.B. Degree Marks Cards

36. Caste certificate(If candidate is SC or ST)

37. ID Proof

38. Business Letter

39. Relieving Letter

40. Study Certificate(In case of retired person)

41. Affidavit(Applicant who has crossed the age of 40 years.)

42. AIBE Certificate/Internet extract copy.

43. Photo Upload

44. Signature Upload

I verify that the information/ particulars furnished by me are true and correct to the best of my knowledge and nothing has been kept concealed therein. I am also submitting herewith column - II AND III of this Form "A"

Submitted Online Application Form For COP

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