application for admission to the bar of the us district court district of ...

APPLICATION FOR ADMISSION TO THE BAR OF THE
U.S. DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY
*MUST BE TYPED*
First Name __________________ Middle Name __________ Last Name _______________ Suffix ____
First Address Line _______________________________________________ Apt/Suite ____________
Second Address Line ___________________________________________________________________
City _________________________________________ State ______ ZIP Code ________________
Social Security Number ___________________________
State of New Jersey Bar ID Number _________________________________
Date of Birth _______________________ Sex: ____ Female ____ Male
E-Mail Address _______________________________________
OATH
I do solemnly swear (or affirm) that, to the best of my knowledge and ability, I will support and defend
the Constitution of the United States against all enemies, foreign and domestic, and that I will bear true
faith and allegiance to the same; that I take this obligation freely, without any mental reservation or
purpose of evasion; and that I demean myself as an Attorney At Law of this Court, uprightly and
according to law. So help me God.
Dated this _________ day of _____________________, _________.
Signature ______________________________________________
I hereby certify that I am authorized to administer oaths and that the foregoing oath, taken by the above
individual, was formally administered by and subscribed to before me this
___________ day of _________________________, ________.
__________________________________________
Name and Title
________________________________*OFFICIAL COURT USE ONLY*________________________________
RECEIPT #: _______________ APPROVED BY: ____________ DATE OF ADMISSION:__________________